Revised Geneva Score, rGeneva online calculator

Revised Geneva Score, rGeneva online calculator

Scales for assessing the clinical probability of PE are used in stable patients (without shock, without hypotension) with suspected pulmonary embolism. They allow you to determine the sequence of diagnostic procedures to confirm or exclude the diagnosis of pulmonary embolism.

Age > 65:
Yes
No

Previous DVT or PE:
Yes
No

Surgery (under general anesthesia) or lower limb fracture in past month:
Yes
No

Active malignant condition
Solid or hematologic malignant condition, currently active or considered cured < 1 year:

Yes
No

Unilateral lower limb pain:
Yes
No

Hemoptysis:
Yes
No

Heart rate:
< 75 bpm
75-94 bpm
≥95 bpm

Pain on lower limb palpation and unilateral edema:
Yes
No


Probability Score Range of points Clinical advice
0 0 0 0

  Points
Age > 651
Previous DVT or PE3
Surgery (under general anesthesia) or lower limb fracture in past month2
Active malignant condition Solid or hematologic malignant condition, currently active or considered cured < 1 year2
Unilateral lower limb pain3
Hemoptysis2
Heart rate< 75 bpm0
 75-94 bpm3
 ≥95 bpm5
Pain on lower limb palpation and unilateral edema4

Interpretation of obtained results (clinical probability of PE)

ProbabilityPointsClinical advice
Low probability0–3 pointsPerform D-dimer testing: -if D-dimer testing is negative consider stopping workup, -if D-dimer testing is positive consider CT-angiography
Intermediate probability4-10 pointsPerform D-dimer testing: -if D-dimer testing is negative consider stopping workup, -if D-dimer testing is positive consider CT-angiography
High probability≥11 pointsConsider CT-angiography  

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Charlson Comorbidity Index (CCI) Online Calculator

Charlson Comorbidity Index predicts 10-year survival in patients with multiple comorbidities.

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History of definite or probable MI (EKG changes and/or enzyme changes)

Exertional or paroxysmal nocturnal dyspnea and has responded to digitalis, diuretics, or afterload reducing agents

Intermittent claudication or past bypass for chronic arterial insufficiency, history of gangrene or acute arterial insufficiency, or untreated thoracic or abdominal aneurysm (≥6 cm)

History of a cerebrovascular accident with minor or no residua and transient ischemic attacks

Chronic cognitive deficit

Any history of treatment for ulcer disease or history of ulcer bleeding

Severe = cirrhosis and portal hypertension with variceal bleeding history, moderate = cirrhosis and portal hypertension but no variceal bleeding history, mild = chronic hepatitis (or cirrhosis without portal hypertension)

Severe = on dialysis, status post kidney transplant, uremia, moderate = creatinine >3 mg/dL (0.27 mmol/L)


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