Geneva Score PE Calculator

Geneva Score PE Calculator for Pulmonology. The revised three-level categories are 0-3 low, 4-10 intermediate and at least 11 high pretest probability. These guide an appropriate diagnostic pathway, not PE prognosis, and do not establish or exclude PE alone.

For shared guidance on choosing a tool and documenting results, read the clinical calculator workflow.

How this calculator works

The revised (not simplified) Geneva score uses eight predictors and a single mutually exclusive heart-rate contribution: <75 gives 0, 75 through <95 gives 3, and >=95 gives 5. Maximum 22.

When to use this calculator

Use before diagnostic testing within an appropriate adult suspected-pulmonary-embolism pathway. It is not a prognosis score for an already confirmed embolism.

Inputs used

  • Age (completed years)
  • Previous DVT or pulmonary embolism
  • Surgery or fracture within the previous month
  • Active malignancy
  • Unilateral lower-limb pain
  • Hemoptysis
  • Heart rate (/min)
  • Deep venous tenderness with unilateral leg edema

Clinical interpretation

The revised three-level categories are 0-3 low, 4-10 intermediate and at least 11 high pretest probability. These guide an appropriate diagnostic pathway, not PE prognosis, and do not establish or exclude PE alone.

Worked example

Fictional teaching case. Age (completed years): 68; Previous DVT or pulmonary embolism: No; Surgery or fracture within the previous month: Yes; Active malignancy: No; Unilateral lower-limb pain: Yes; Hemoptysis: No; Heart rate (/min): 80; Deep venous tenderness with unilateral leg edema: No. Result: 9 points. Intermediate three-level pretest category. Contributions in assessment order: 1 + 0 + 2 + 0 + 3 + 0 + 3 + 0 = 9. Revised Geneva assesses pretest probability in suspected PE. It does not establish PE, exclude PE by itself or replace an appropriate diagnostic pathway.

Limitations and safety notes

Use in an appropriate adult suspected-PE diagnostic pathway. This pretest score is different from PESI prognosis after PE diagnosis. No cohort-specific percentages or automatic scan orders are displayed.

Frequently asked questions

What can change the meaning of this result?

Use in an appropriate adult suspected-PE diagnostic pathway. This pretest score is different from PESI prognosis after PE diagnosis. No cohort-specific percentages or automatic scan orders are displayed.

References

  • Le Gal revised Geneva derivation, predictor weights and three-level categories. https://pubmed.ncbi.nlm.nih.gov/16461960/
  • 2026 multisociety PE guideline identity and scope; scoring does not replace integrated clinical assessment. https://pubmed.ncbi.nlm.nih.gov/41712677/

Editorial review and citation methodology

Maintained by the Quick Medical Calculator Editorial Team. Content record date: September 9, 2026. A content date is not evidence of independent clinical review. Individual clinical sign-off is not recorded on this page.

  • Prefer original validation studies for scoring systems and prediction tools.
  • Use current specialty society guidance, transplant allocation policy, public health guidance, or regulator resources when they govern clinical use.
  • Include limitations and safety notes when a calculator is population-specific, context-dependent, or unsuitable as a standalone decision tool.

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