Anesthetic drugs & techniques

Association of Age, Sex and American Society of Anaesthesiologists (ASA) Physical Status With Bispectral Index Values During General Anaesthesia: A Large Observational Cohort Study

Acta Anaesthesiol ScandPublished Prospective observational cohort study

Authors' conclusion

In this large observational cohort, older patients, patients with higher ASA score and females exhibited lower BIS values during general anaesthesia compared with younger, healthier and male patients, even when anaesthetic dosing followed standard protocols.

Study context

Population
Patients who underwent GA between 1 January 2017 and 31 December 202026,650 with continuous BIS
Participants
97,733 patients
Exposure
BIS values by age, sex and ASA score
Outcome
Associations between BIS values and age, sex and ASA score
Methodological detailslarge-scale, electronic health records
  • Large-scale
  • Electronic health records

Main finding

As reported in the abstract

BIS values by age, sex and ASA score
  • Higher ASA scores, increasing age and female sex associated with deeper anaesthesia with significantly lower BIS values

Observational data: associations, not effects.

Further findings

Use of BIS monitoring

BIS monitoring more frequent in ASA 1 or 2 and in TIVA

Original publication

Association of Age, Sex and ASA Physical Status With Bispectral Index Values During General Anaesthesia: A Large Observational Cohort Study. Acta Anaesthesiol Scand. Published 14 June 2026. doi:10.1111/aas.70281

Composed by AI from the published abstract and checked against it. How Briefs are made →

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