🫁 Simplified Geneva Score (PE)
UseWhen to use: suspected PE when an objective alternative to Wells is preferred.
StrataNon-high → HS D-dimer pathway; high → imaging.
LimitsWhen not to use: in shock with obvious PE phenotype needing immediate… · Pitfall: applying PERC after intermediate/high without care. · YEARS/Wells may be local default.
SourceKlok FA et al. simplified revised Geneva score
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
0–9.
When to use
When to use: suspected PE when an objective alternative to Wells is preferred.
How it works
Most items +1; HR 75–94 +1; HR≥95 +2; low ≤1, intermediate 2–4, high ≥5.
Key points
- 0–9.
- ≥5 high pretest.
- Next: D-dimer / CTPA.
References
- Klok FA et al. simplified revised Geneva score
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age >65 years | No (0) |
|---|---|
| Previous DVT/PE | No (0) |
| Surgery or fracture within 1 month | No (0) |
| Active malignancy | No (0) |
| Unilateral lower-limb pain | No (0) |
| Hemoptysis | No (0) |
| Heart rate | 75–94 (+1) |
| Pain on lower-limb deep venous palpation AND unilateral edema | No (0) |
→Simplified Geneva1/9
- PE pretest:Low pretest probability
- Pathway cue:Non-high → high-sensitivity D-dimer; if negative, PE unlikely
| Age >65 years | No (0) |
|---|---|
| Previous DVT/PE | No (0) |
| Surgery or fracture within 1 month | No (0) |
| Active malignancy | No (0) |
| Unilateral lower-limb pain | No (0) |
| Hemoptysis | No (0) |
| Heart rate | <75 (0) |
| Pain on lower-limb deep venous palpation AND unilateral edema | No (0) |
→Simplified Geneva0/9
- PE pretest:Low pretest probability
- Pathway cue:Non-high → high-sensitivity D-dimer; if negative, PE unlikely
Verification & sources · governance
FAQ
Frequently asked questions
- Does Simplified Geneva Score (PE) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Simplified Geneva Score (PE) calculated in practice? Can you show a worked example?
- Inputs: Age >65 years No (0), Previous DVT/PE No (0), Surgery or fracture within 1 month No (0), Active malignancy No (0), Unilateral lower-limb pain No (0), Hemoptysis No (0), Heart rate 75–94 (+1), Pain on lower-limb deep venous palpation AND unilateral edema No (0) → Result: Simplified Geneva 1 /9(PE pretest: Low pretest probability, Pathway cue: Non-high → high-sensitivity D-dimer; if negative, PE unlikely) Inputs: Age >65 years No (0), Previous DVT/PE No (0), Surgery or fracture within 1 month No (0), Active malignancy No (0), Unilateral lower-limb pain No (0), Hemoptysis No (0), Heart rate <75 (0), Pain on lower-limb deep venous palpation AND unilateral edema No (0) → Result: Simplified Geneva 0 /9(PE pretest: Low pretest probability, Pathway cue: Non-high → high-sensitivity D-dimer; if negative, PE unlikely)