Table 1 Clinical prediction scores for PE: the revised Geneva score and the Wells score
From: Pulmonary embolism presenting as non-ST elevation myocardial infarction: a case report
Wells score | Revised Geneva score | ||
|---|---|---|---|
Variable | Points | Variable | Points |
Predisposing factors | Predisposing factors | ||
Previous DVT or PE | +1.5 | Age >65 | +1 |
Recent surgery/immobilization | +1.5 | Previous DVT or PE | +3 |
Cancer | +1 | Surgery or fracture Within 1 month | +2 |
| Â | Â | Active malignancy | +2 |
Symptoms | Symptoms | ||
Haemoptysis | +1 | Unilateral lower limb pain | +3 |
| Â | Â | Haemoptysis | +2 |
Clinical signs | Clinical signs | ||
Heart rate >100/min | +1.5 | Heart rate | +5 |
| Â | Â | 75-94/min | +3 |
|  |  | ≥ 95/min |  |
Clinical signs of DVT | +3 | Â | Â |
Clinical judgement | |||
Alternative diagnosis less than PE | +3 | Pain on lower limb deep vein at palpation and unilateral oedema | +4 |
Clinical probability | Total | Clinical probability | Total |
Low | 0-1 | Low | 0-3 |
Intermediate | 2-6 | Intermediate | 4-10 |
High | ≥ 7 | High | ≥ 11 |
Clinical probability ( 2 levels) | Â | Â | Â |
PE unlikely | 0-4 | Â | Â |
PE likely | 0-4 | Â | Â |