Venous Thromboembolism: Classification, Risk Factors, Diagnosis, and Management
Table 2
The main clinical scoring models for predicting the pre-test probability of pulmonary embolism. Well’s score, revised Geneva and simplified revised Geneva are scoring systems for assessment of suspected PE [24–26].
Well’s Score
Revised and simplified revised Geneva scores
Clinical characteristics
Score
Clinical characteristics
Revised score
Simplified score
Haemoptysis
+1
Age >65 years
+1
+1
Cancer
+1
Active malignant condition
+2
+1
Previous pulmonary embolism or deep venous thrombosis
+1.5
Surgery or fracture within 1 month
+2
+1
Haemoptysis
+2
+1
Heart rate >100/min
+1.5
Previous deep vein thrombosis or pulmonary embolism
+3
+1
Recent surgery or immobilisation
+1.5
Clinical signs of deep venous thrombosis
+3
Unilateral lower-limb pain
+3
+1
Heart rate 75–94/min
+3
+1
Alternative diagnosis less likely than that of pulmonary embolism
+3
Pain on lower-limp deep venous palpation and unilateral oedema