Revised Geneva Score (rGeneva) for risk-stratifying pulmonary embolism
The revised Geneva score predicts the pre-test probability of pulmonary embolism (PE).
Research authors: Le Gal G, Righini M, Roy PM, Sanchez O, Aujesky D, Bounameaux H, Perrier A.
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Model author
Model ID
Revision date
MeSH terms
  • Clinical Prediction Rule
  • Embolism
  • Pulmonary Embolism
  • Embolism and Thrombosis
  • Model type
    Linear model (Calculation)
    No Formula defined yet
    Condition Formula

    Additional information

    Consecutive patients admitted for clinically suspected pulmonary embolism were included in the study. Hormone replacement therapy was excluded because of the recent dramatic reduction in its prescription. To obtain a rule entirely based on clinical variables, the authors did not use the results of blood gas analysis, electrocardiography, and chest radiography. They also left out the likelihood of an alternative diagnosis compared with that of pulmonary embolism to achieve an entirely standardized score.

    Study Population

    Total population size: 965
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    Females: {{ model.numberOfFemales }}

    Continuous characteristics

    Name Mean SD Unit
    Age 60.6 19.4 years
    Weight 72.6 16.1 kg
    Central temperature 36.9 0.8 degrees Celcius
    Heart rate 86.3 19.7 beats/min
    Respiratory rate 20.2 7.0 cycles/min
    Systolic blood pressure 140 23 mmHg
    Diastolic blood pressure 81 15 mmHg

    Categorical characteristics

    Name Subset / Group Nr. of patients
    Risk factors Patients with family history of DVT or PE 102
    Patients with personal history of DVT or PE 166
    Patients with known congestive heart failure 95
    Patients with previous stroke 29
    Patients with COPD 99
    Patients who had surgery, fracture, or both within 1 month 67
    Patients who were immobile within 1 month 165
    Patients with active malignant condition 89
    Patients currently using oral contraceptive 69
    Pregnant or postpartum patients 10
    Symptoms Syncope 68
    Recent cough 197
    Hemoptysis 43
    Dyspnea 637
    Chest pain 681
    Unilateral lower limp pain 138
    Clinical examination - signs related to PE Patients with chronic venous insufficiency 199
    Patients with varicose veins 227
    Patients with unilateral edema and pain on deep venous palpation 51
    Patients with abnormal chest auscultation 158
    Patients with neck vein distention 108

    Revised Geneva (rGeneva) score:

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    Revised Geneva (rGeneva) score: points

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    Outcome stratification

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    Conditional information

    Result interpretation

    Model performance upon external validation: 

    • In an external validation study by Le Gal et al (2006), the prevalence of pulmonary embolism was 8% in the low-probability category (0 to 3 points), 28% in the intermediate-probability category (4 to 10 points), and 74% in the high-probability category (≥11 points).
    • In an external validation study by Calisir et al (2009) including 148 patients, rates of PE in high, moderate, and low PE risk groups determined according to the Revised Geneva score were 83.3, 25.6, and 0%, respectively.
    • Penaloza et al (2013) reported a c-index of 0.66 (95% CI 0.63 to 0.70) for the revised Geneva score when applied in a retrospective study population of 1,038 patients (pulmonary embolism prevalence: 31.3%).

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    Calculations alone should never dictate patient care, and are no substitute for professional judgement. See our full disclaimer.

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