Emergency Department Lung Injury Prediction Score (EDLIPS)

Predisposing conditions and factors	Points
Male sex	1
Aspiration	2
Pneumonia	1
Sepsis	1
Shock	2
Lung contusion	1
Smoke inhalation	1.5
Long bone fractures	2
Brain injury	2
Cardiac surgery*	5
Aortic surgery*	5
Spine surgery*	5
Acute abdomen	2.5
Diabetes mellitus	–0.5
Cirrhosis	1
Chemotherapy	2
Obesity (BMI >30)	1.5
Acidosis (pH <7.35)	2
FiO₂ >0.35 (ie, >4 L/min)	2
Albumin <3.5	1.5
SpO₂ <95%	1.5

The EDLIPS is obtained by summing points for the above conditions and factors. A patient with an EDLIPS <5 points can be considered not at high risk (negative likelihood ratio 0.39) for development of acute respiratory distress syndrome.

BMI: body mass index; FiO₂: fraction of inspired oxygen; SpO₂: oxygen saturation.

* Emergency department patient requiring admission for one of these surgeries.

Adapted from: Elie-Turenne MC, Hou PC, Mitani A, et al. Lung injury prediction score for the emergency department: First step towards prevention in patients at risk. Int J Emerg Med 2012; 5:33. Copyright © The Authors. https://intjem.biomedcentral.com/articles/10.1186/1865-1380-5-33 (Accessed on April 19, 2023). Reproduced under the terms of the Creative Commons Attribution License 2.0.

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Emergency Department Lung Injury Prediction Score (EDLIPS)