Lung Injury Prediction Score (LIPS)

Lung Injury Prediction Score (Gajic 2011 worksheet) for ALI/ARDS risk.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Sepsis
Yes
Pneumonia
Yes
Hypoalbuminemia
Yes
FiO2 > 0.35 or > 4 L/min
Yes

Result: LIPS 5.5: high risk for ALI/ARDS development per Gajic 2011 (cut point >4).

The tool opens with these values already filled in. Replace them with your own.

What the result means

<=4
Not above the Gajic 2011 ALI/ARDS high-risk cut point.
>4
High risk for ALI/ARDS development per Gajic 2011 (Table 4: sensitivity 0.69, specificity 0.78).
Conditional rows
Emergency surgery adds 1.5 only to a listed surgery; diabetes subtracts 1 only if sepsis.

What you enter

  • Shock (2)
  • Aspiration (2)
  • Sepsis (1)
  • Pneumonia (1.5)
  • Surgery: orthopedic spine (1)
  • Surgery: acute abdomen (2)
  • Surgery: cardiac (2.5)
  • Surgery: aortic vascular (3.5)
The other 15 fields
  • That surgery is an emergency (1.5)
  • Trauma: traumatic brain injury (2)
  • Trauma: smoke inhalation (2)
  • Trauma: near drowning (2)
  • Trauma: lung contusion (1.5)
  • Trauma: multiple fractures (1.5)
  • Alcohol abuse (1)
  • Obesity BMI > 30 (1)
  • Hypoalbuminemia (1)
  • Chemotherapy (1)
  • FiO2 > 0.35 or > 4 L/min (2)
  • Tachypnea RR > 30 (1.5)
  • SpO2 < 95% (1)
  • Acidosis pH < 7.35 (1.5)
  • Diabetes mellitus, only if sepsis (-1)
How this is calculated

Citation

Gajic O, Dabbagh O, Park PK, 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. 2011;183(4):462-470. Read the sources: Gajic 2011 ↗, Full text ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.