🫁 Lung Injury Prediction Score (LIPS)
UseWhen to use: hospitalized patients with shock, sepsis, aspiration, high-risk surgery/trauma, etc.
StrataLIPS >4 flags higher ALI risk for prevention bundles and closer respiratory surveillance.
LimitsWhen not to use: established ARDS already (use Berlin). · Pitfall: double-counting overlapping insults carelessly. · Not an ARDS diagnosis.
SourceLIPS (Gajic AJRCCM 2011)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Gajic point sum.
When to use
When to use: hospitalized patients with shock, sepsis, aspiration, high-risk surgery/trauma, etc.
How it works
Sum of Gajic LIPS point weights (conditions + surgery/trauma + modifiers).
Key points
- Gajic point sum.
- >4 higher risk cue.
- Next: lung-protective care.
References
- LIPS (Gajic AJRCCM 2011)
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Shock | No |
|---|---|
| Aspiration | No |
| Sepsis | No |
| Pneumonia | No |
| High-risk surgery | Acute abdomen (+2) |
| Emergency surgery (add) | No |
| High-risk trauma | TBI / smoke / near-drowning (+2) |
| Alcohol abuse | No |
| Obesity (BMI >30) | No |
| Hypoalbuminemia | No |
| Chemotherapy | No |
| FiO₂ >0.35 (>4 L/min) | No |
| Tachypnea RR >30 | No |
| SpO₂ <95% | No |
| Acidosis pH <7.35 | No |
| Diabetes mellitus (only if sepsis) | No / N/A |
→LIPS4.0
- Cue：LIPS =4 — threshold commonly discussed for heightened monitoring
- Note：Select at most one surgery category and one trauma category; emergency surgery adds +1.5 when applicable.
| Shock | No |
|---|---|
| Aspiration | No |
| Sepsis | No |
| Pneumonia | No |
| High-risk surgery | None |
| Emergency surgery (add) | No |
| High-risk trauma | None |
| Alcohol abuse | No |
| Obesity (BMI >30) | No |
| Hypoalbuminemia | No |
| Chemotherapy | No |
| FiO₂ >0.35 (>4 L/min) | No |
| Tachypnea RR >30 | No |
| SpO₂ <95% | No |
| Acidosis pH <7.35 | No |
| Diabetes mellitus (only if sepsis) | No / N/A |
→LIPS0.0
- Cue：LIPS <4 — lower predicted ALI risk (still watch predisposing insults)
- Note：Select at most one surgery category and one trauma category; emergency surgery adds +1.5 when applicable.
Verification & sources · governance
FAQ
Frequently asked questions
- Does Lung Injury Prediction Score (LIPS) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Lung Injury Prediction Score (LIPS) calculated in practice? Can you show a worked example?
- Inputs: Shock No, Aspiration No, Sepsis No, Pneumonia No, High-risk surgery Acute abdomen (+2), Emergency surgery (add) No, High-risk trauma TBI / smoke / near-drowning (+2), Alcohol abuse No… → Result: LIPS 4.0（Cue: LIPS =4 — threshold commonly discussed for heightened monitoring, Note: Select at most one surgery category and one trauma category; emergency surgery adds +1.5 when applicable.） Inputs: Shock No, Aspiration No, Sepsis No, Pneumonia No, High-risk surgery None, Emergency surgery (add) No, High-risk trauma None, Alcohol abuse No… → Result: LIPS 0.0（Cue: LIPS <4 — lower predicted ALI risk (still watch predisposing insults), Note: Select at most one surgery category and one trauma category; emergency surgery adds +1.5 when applicable.）