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ICU and Critical Care · Pulmonology · Emergency Medicine

Lung Injury Prediction Score (LIPS) calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

High-risk surgery

Result

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Clinical inputs

  • Shock
  • Aspiration
  • Sepsis
  • Pneumonia
  • High-risk surgery
  • Emergency surgery (+1.5)
  • Traumatic brain injury (+2)
  • Smoke inhalation (+2)
  • Near drowning (+2)
  • Lung contusion (+1.5)
  • Multiple fractures (+1.5)
  • Alcohol abuse
  • Obesity
  • Hypoalbuminemia (+1)
  • Chemotherapy
  • FiO2 >0.35
  • Tachypnea (RR >30)
  • SpO2 <95%
  • Acidosis (pH <7.35)
  • Diabetes mellitus

Primary source

Gajic O et al. Early identification of patients at risk of acute lung injury: evaluation of lung injury prediction score in a multicenter cohort study. Am J Respir Crit Care Med. DOI: 10.1164/rccm.201004-0549OC. PMID: 20802164. Predisposing conditions: shock 2, aspiration 2, sepsis 1, pneumonia 1.5; high-risk surgery: orthopedic spine 1, acute abdomen 2, cardiac 2.5, aortic vascular 3.5 (emergency surgery adds 1.5); high-risk trauma: traumatic brain injury 2, smoke inhalation 2, near drowning 2, lung contusion 1.5, multiple fractures 1.5. Risk modifiers: alcohol abuse 1, obesity (BMI >30) 1, hypoalbuminemia 1, chemotherapy 1, FiO2 >0.35 (>4 L/min) 2, tachypnea (RR >30) 1.5, SpO2 <95% 1, acidosis (pH <7.35) 1.5, diabetes mellitus −1 (only with sepsis). A score of 4 or more identified patients at higher risk of acute lung injury. (2011)

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