Perioperative medicine & outcomes

Electroencephalographic Measures of Delirium in the Perioperative Setting: A Systematic Review

Anesth AnalgPublished Systematic review

Authors' conclusion

The EEG patterns observed in POD aligned with those noted in delirium in different contexts, suggesting a reduction in EEG activity.

Study context

Population
Perioperative patients (pre-, intra- and postoperative EEG) in studies of postoperative delirium (POD)56 studies included
Outcome
EEG measures of POD
Methodological details371 studies identified, 56 met inclusion criteria
  • 371 studies identified, 56 met inclusion criteria

Pooled result

As reported in the abstract

  • EEG techniques ranged from limited 1-4 channel setups to complex 256-channel systems
  • Preoperative power spectra often measured; outcomes inconsistent
  • Intraoperative: emphasis on burst suppression metrics and power spectra; frequency and timing of burst suppression linked to POD
  • EEG patterns in POD aligned with delirium in other contexts, suggesting reduced EEG activity

Original publication

Electroencephalographic Measures of Delirium in the Perioperative Setting: A Systematic Review. Anesth Analg. Published 1 May 2025. doi:10.1213/ane.0000000000007079

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