Geneva score

Geneva Score is a clinical prediction rule used to determine the probability of pulmonary embolism. The score is based on various factors such as age, previous history of deep vein thrombosis or pulmonary embolism, recent surgery or fracture, active malignancy, unilateral lower limb pain, hemoptysis, heart rate, pain on lower limb deep venous palpation and swelling of the entire leg.

Calculation

The Geneva Score is calculated by assigning points to each of the factors mentioned above. The total score can range from 0 to 25, with higher scores indicating a higher probability of pulmonary embolism.

Use

The Geneva Score is used in the clinical setting to determine the need for further diagnostic testing in patients with suspected pulmonary embolism. It is particularly useful in patients with a low or intermediate probability of pulmonary embolism.

Limitations

While the Geneva Score is a useful tool, it is not perfect. It does not take into account all possible risk factors for pulmonary embolism, and it may not be accurate in all patient populations. Furthermore, it should not be used as a substitute for clinical judgment.

See Also

• Pulmonary embolism
• Deep vein thrombosis
• Clinical prediction rule

References

• Wicki, J., Perneger, T.V., Junod, A.F., Bounameaux, H., Perrier, A. (2001). Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Archives of Internal Medicine, 161(1), 92-97.