For healthcare professionals
Revised Geneva score calculator
The revised Geneva score estimates the clinical probability of pulmonary embolism from 8 items that need no laboratory tests and no judgment call. Le Gal and colleagues derived and validated it in emergency departments in Europe in 2006. The page shows both the original points (0 to 22) and the simplified version (0 to 9). This calculator is written for clinicians and is not a diagnosis.
Clinical items
Tick each item that is present. Points are shown as original / simplified. Nothing you enter leaves this page.
What you will see
The original and simplified scores, the three-level and two-level probability groups, and the share of patients with PE in that group in the original study.
Educational only, not medical advice. Not a diagnosis. A pretest probability guides testing; it does not rule PE in or out.
Source
Le Gal G and colleagues, Annals of Internal Medicine 2006 (points and three-level bands, from the abstract). The simplified version and the two-level bands are from Chart 4 of the open-access (CC BY) Brazilian joint guideline on venous thromboembolism, Albricker and colleagues, Arquivos Brasileiros de Cardiologia 2022, after Klok and colleagues, 2008. The tests check every item, the heart rate bands, the maximum and every band edge.
Validated in
Derived and externally validated in consecutive patients with clinically suspected PE in the emergency departments of 3 university hospitals in Europe (Le Gal 2006). The simplified version was validated on 1,049 patients from 2 prospective diagnostic trials (Klok 2008).
Limits
Agreement between raters on the items was not studied in the original paper. In a US emergency department study of 392 CT angiograms, the revised Geneva score was associated with PE but failed to identify 70.4% of the PE cases, against 12.5% for the Wells criteria (Simon 2021). Reported sensitivity ranged from 55.3% to 73.6% and specificity from 48.8% to 90.0% (Albricker 2022).
Revised Geneva score table
| Item | Original | Simplified |
|---|---|---|
| Age over 65 years | 1 | 1 |
| Previous deep vein thrombosis (DVT) or pulmonary embolism (PE) | 3 | 1 |
| Surgery or fracture within 1 month | 2 | 1 |
| Active cancer | 2 | 1 |
| Unilateral lower limb pain | 3 | 1 |
| Hemoptysis | 2 | 1 |
| Pain on lower limb deep venous palpation and unilateral edema | 4 | 1 |
| Heart rate 75 to 94 beats per minute | 3 | 1 |
| Heart rate 95 beats per minute or more | 5 | 2 |
| Maximum | 22 | 9 |
Source: Le Gal and colleagues, 2006 (Le Gal 2006), and Chart 4 of Albricker and colleagues, 2022 (Albricker 2022).
Probability groups
| Group | Original | Simplified |
|---|---|---|
| Low | 0 to 3 | 0 to 1 |
| Intermediate | 4 to 10 | 2 to 4 |
| High | 11 or more | 5 or more |
| PE unlikely | 0 to 5 | 0 to 2 |
| PE likely | 6 or more | 3 or more |
Source: Chart 4 of Albricker and colleagues, 2022 (Albricker 2022). In the validation set of the original study, PE was found in 8% of the low group, 28% of the intermediate group and 74% of the high group (Le Gal 2006).
Original or simplified?
The different weights of the original score could lead to miscalculations in an acute setting, so Klok and colleagues gave every item 1 point. Accuracy did not differ (area under the curve 0.75 for the original and 0.74 for the simplified score). During 3 months of follow-up, no patient with a low or intermediate probability, or PE unlikely, on the simplified score and a normal D-dimer was diagnosed with venous thromboembolism (Klok 2008).
Related calculators
For the other common PE rule, use the Wells score for PE. In patients with a low pretest probability, see the PERC rule calculator. Once PE is confirmed, the PESI and sPESI calculator estimates 30-day mortality. Other bedside scores are listed under For healthcare professionals.
Sources
- Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med. 2006;144(3):165-171. doi:10.7326/0003-4819-144-3-200602070-00004. PMID 16461960. Abstract (8 variables and their points; derivation and external validation in emergency departments of 3 European university hospitals; PE prevalence 8%, 28% and 74% in the low, intermediate and high groups). pubmed.ncbi.nlm.nih.gov/16461960/
- Albricker ACL, Freire CMV, Santos SND, et al. Joint guideline on venous thromboembolism - 2022. Arq Bras Cardiol. 2022;118(4):797-857. doi:10.36660/abc.20220213. PMID 35508060. Open access (CC BY). Chart 4 (revised Geneva score, original and simplified points, three-level and two-level bands). pmc.ncbi.nlm.nih.gov/articles/PMC9007000/
- Klok FA, Mos IC, Nijkeuter M, et al. Simplification of the revised Geneva score for assessing clinical probability of pulmonary embolism. Arch Intern Med. 2008;168(19):2131-2136. doi:10.1001/archinte.168.19.2131. PMID 18955643. Abstract (1049 patients from 2 prospective trials; AUC 0.75 vs 0.74; no VTE at 3 months with low or intermediate probability or PE unlikely and a normal D-dimer). pubmed.ncbi.nlm.nih.gov/18955643/
- Simon MA, Tan C, Hilden P, Gesner L, Julius B. Effectiveness of clinical decision tools in predicting pulmonary embolism. Pulm Med. 2021;2021:8880893. doi:10.1155/2021/8880893. PMID 33688434. Open access (CC BY). Table (revised Geneva score points); 392 CT angiograms in a US emergency department. pmc.ncbi.nlm.nih.gov/articles/PMC7920730/
Written and maintained by the uncovermyrisk.com editorial team. We do not have a medical reviewer; every claim links to its primary source above. Last reviewed: 2026-11-01. Spotted an error? See About.