Table 1.
Wells Criteria[9] | Revised Geneva Score[11] | ||
---|---|---|---|
Risk Factors | Points | Risk Factors | Points |
Clinical signs and symptoms of deep venous thrombosis (objectively measured leg swelling and pain with palpation in the deep-vein region) | 3.0 | Unilateral lower limb pain | 3 |
Pain on leg deep-vein palpation and unilateral edema | 4 | ||
Heart rate greater than 100 beats/min | 1.5 | Heart rate between 75–94 beats/min OR Heart rate ≥95 beats/min |
3 OR 5 |
Immobilization (bedrest, except access to the bathroom, for ≥3 days) or surgery in the previous 4 weeks | 1.5 | Surgery (under general anesthesia) or fracture (of the lower limbs) within 1 month | 2 |
Previous objectively diagnosed deep venous thrombosis or pulmonary embolism | 1.5 | Previous deep-venous thrombosis or pulmonary embolism | 3 |
Hemoptysis | 1.0 | Hemoptysis | 2 |
Malignancy (patients with cancer who were receiving treatment, those in whom treatment had been stopped within the past 6 months, or those who were receiving palliative care | 1.0 | Active malignancy (solid or hematologic malignant condition, currently active or considered cured <1 year) | 2 |
Pulmonary embolism as likely as or more likely than an alternative diagnosis* | 3.0 | -- | -- |
-- | -- | Age >65 years | 1 |
Clinical Probability | |||
PE unlikely | ≤4 | PE unlikely | ≤5 |
PE likely | >4 | PE likely | >5 |
This is the category subject to change in the automatic vs. non-automatic scoring versions. Points are automatically awarded for this category under automatic Wells and discerningly awarded under non-automatic Wells