Li et al reported a simplified version of the Lung Injury Prediction Score (LIPS). The author are from multiple institutions in China, New Zealand, England and the United States.
Parameters:
(1) shock (need for vasopressors; evidence of hypotension plus inadequate tissue perfusion)
(2) alcohol abuse
(3) body mass index in kg per sq m
(4) respiratory rate in breaths per minute
(5) SpO2 in percent
(6) oxygen requirements
(7) serum albumin
(8) blood acidosis
Parameter
Finding
Points
shock
no
0
yes
2
alcohol abuse
no
0
yes
1
body mass index
<= 30 kg per sq m
0
> 30 kg per sq m
1
respiratory rate
<= 30 breaths per minute
0
> 30 breaths per minute
1.5
SpO2
>= 95%
0
< 95%
1
oxygen requirement
not high
0
high (FIO2 < 0.35; oxygen flow > 4 L/min)
2
serum albumin
>= 3.5 g/dL
0
< 3.5 g/dL
1
acidosis
arterial pH >= 7.35 or venous >= 7.32
0
arterial < 7.35 or venous < 7.32
1.5
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 11
• A sLIPS >= 2 in a patient with acute pancreatitis is associated with persistent respiratory failure.
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