Klok et al attempted to simplify the revised Geneva score (see both the original and revised scores, above). The authors are from Leiden University, Geneva University Hospital, and the Universite de Bretagne Occidentale in Brest.
Parameters:
(1) age
(2) history of previous deep vein thrombosis (DVT) and/or pulmonary embolism (PE)
(3) recent history of surgery or fracture of a lower limb within the past month
(4) malignancy (solid or hematologic malignant condition)
(5) unilateral lower limb pain
(6) hemoptysis
(7) heart rate
(8) findings on examination of the lower extremities
|
Parameter |
Findings |
Points |
|
age of the patient |
<= 65 years of age |
0 |
|
|
> 65 years |
1 |
|
history of previous DVT or PE |
none |
0 |
|
|
present |
1 |
|
recent history |
neither surgery under general anesthesia or fracture of a lower extremity in past month |
0 |
|
|
surgery under general anesthesia and/or fracture of a lower limb in the past month |
1 |
|
malignancy |
none |
0 |
|
|
inactive |
0 |
|
|
active (currently active or considered cured for < 1 year) |
1 |
|
lower limb pain |
none |
0 |
|
|
unilateral |
1 |
|
|
bilateral |
0 |
|
hemoptysis |
absent |
0 |
|
|
present |
1 |
|
heart rate |
< 75 beats per minute |
0 |
|
|
75 - 94 beats per minute |
1 |
|
|
>= 95 beats per minute |
2 |
|
examination of lower limb |
normal |
0 |
|
|
pain on deep venous palpation and unilateral edema |
1 |
where:
• The use of 2 points for a heart rate >= 95 is mentioned on page 2132, second column.
total score =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the greater the chances of a pulmonary embolus.
|
Total Score |
Probability of PE (3 Tier System) |
|
0 to 1 |
low |
|
2 to 4 |
intermediate |
|
5 to 9 |
high |
|
Total Score |
Probability of PE (2 Tier System) |
|
0 to 2 |
unlikely |
|
3 to 9 |
likely |
Specialty: Pulmonology
ICD-10: ,
