Skip to main content
. Author manuscript; available in PMC: 2020 Aug 1.
Published in final edited form as: J Am Coll Radiol. 2019 Apr 29;16(8):1064–1072. doi: 10.1016/j.jacr.2018.12.015

Table 1.

Risk stratification specifications for the Wells and Revised Geneva Scores

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