ToolsCalculators
Geneva Risk Score for Venous Thromboembolism (VTE) Prophylaxis
Geneva Risk Score for Venous Thromboembolism (VTE) Prophylaxis
Decompensated cardiac failure
Respiratory failure
Acute stroke (<3 months)
Recent myocardial infarction (<4 weeks)
Acute infection or sepsis
Acute rheumatic disease
Active malignancy
Myeloproliferative syndrome
Nephrotic syndrome
Prior venous thromboembolism
Known thrombophilia
Immobilisation >=3 days
Recent long-distance travel (>6 hours)
Age >60 years
BMI >30 kg/m2
Chronic venous insufficiency
Pregnancy or post-partum
Hormonal therapy (oestrogen/HRT)
Dehydration
Result0 points
Low risk of VTE - routine pharmacologic prophylaxis is generally not required.
- Risk category
- Low risk (<3 points)
When to use
- Deciding whether a hospitalised medical (non-surgical) patient needs pharmacologic VTE prophylaxis.
Formula
Sum of weighted risk factors (2 points each for major factors such as cardiac/respiratory failure, active cancer, prior VTE, thrombophilia; 1 point each for minor factors such as age >60, obesity, immobilisation). Score >=3 defines high risk.
Pearls and pitfalls
- Compared favourably with the Padua Prediction Score for identifying truly low-risk patients who can safely forgo prophylaxis.