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Table 1 Lung Injury Prediction Score calculation worksheet

From: Clinical review: Early treatment of acute lung injury - paradigm shift toward prevention and treatment prior to respiratory failure

 

LIPS points

Predisposing conditions

 

   Shock

2

   Aspiration

2

   Sepsis

1

   Pneumonia

1.5

   High-risk surgerya

 

Orthopedic spine

1

Acute abdomen

2

Cardiac

2.5

Aortic vascular

3.5

   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/minute)

2

   Tachypnea (RR >30)

1.5

   SpO2 < 95%

1

   Acidosis (pH <7.35)

1.5

   Diabetes mellitusb

-1

  1. aAdd 1.5 points if emergency surgery. bOnly if sepsis. Example 1: patient with a history of alcohol abuse with septic shock from pneumonia requiring FiO2 >0.35 in the emergency room; sepsis (1) + shock (2) + pneumonia (1.5) + alcohol abuse (1) + FiO2 >0.35 (2) = 7.5. Example 2: motor vehicle accident with traumatic brain injury, lung contusion, and shock requiring FiO2 >0.35; traumatic brain injury (2) + lung contusion (1.5) + shock (2) + FiO2 >0.35 (2) = 7.5. Example 3: patient with a history of diabetes mellitus and urosepsis with shock; sepsis (1) + shock (2) + diabetes (-1) = 2. BMI, body mass index; FiO2, fraction of inspired oxygen; LIPS, Lung Injury Prediction Score; RR, respiratory rate; SpO2, oxygen saturation by pulse oximetry. Reprinted from [16] with permission of the American Thoracic Society. Copyright © 2012 American Thoracic Society. Official Journal of the American Thoracic Society.