Clinical decision rules for suspected acute PE
| Item . | Original . | Simplified . |
|---|---|---|
| Revised Geneva score | ||
| Previous DVT or PE | 3 | 1 |
| Heart rate 75–94/min | 3 | 1 |
| Heart rate ≥95/min | 5 | 2 |
| Surgery or fracture <1 mo | 2 | 1 |
| Hemoptysis | 2 | 1 |
| Active malignancy | 2 | 1 |
| Unilateral lower limb pain | 3 | 1 |
| Pain on lower limb deep vein palpation and unilateral edema | 4 | 1 |
| Age >65 y | 1 | 1 |
| Clinical probability | ||
| PE unlikely | ≤5 | ≤2 |
| PE likely | >5 | >2 |
| Wells rule | ||
| Previous PE or DVT | 1.5 | 1 |
| Heart rate >100/min | 1.5 | 1 |
| Surgery or immobilization <4 wk | 1.5 | 1 |
| Hemoptysis | 1 | 1 |
| Active malignancy | 1 | 1 |
| Clinical signs of DVT | 3 | 1 |
| Alternative diagnosis less likely than PE | 3 | 1 |
| Clinical probability | ||
| PE unlikely | ≤4 | ≤1 |
| PE likely | >4 | >1 |
| Item . | Original . | Simplified . |
|---|---|---|
| Revised Geneva score | ||
| Previous DVT or PE | 3 | 1 |
| Heart rate 75–94/min | 3 | 1 |
| Heart rate ≥95/min | 5 | 2 |
| Surgery or fracture <1 mo | 2 | 1 |
| Hemoptysis | 2 | 1 |
| Active malignancy | 2 | 1 |
| Unilateral lower limb pain | 3 | 1 |
| Pain on lower limb deep vein palpation and unilateral edema | 4 | 1 |
| Age >65 y | 1 | 1 |
| Clinical probability | ||
| PE unlikely | ≤5 | ≤2 |
| PE likely | >5 | >2 |
| Wells rule | ||
| Previous PE or DVT | 1.5 | 1 |
| Heart rate >100/min | 1.5 | 1 |
| Surgery or immobilization <4 wk | 1.5 | 1 |
| Hemoptysis | 1 | 1 |
| Active malignancy | 1 | 1 |
| Clinical signs of DVT | 3 | 1 |
| Alternative diagnosis less likely than PE | 3 | 1 |
| Clinical probability | ||
| PE unlikely | ≤4 | ≤1 |
| PE likely | >4 | >1 |