Perioperative medicine & outcomes

Intraoperative Frontal Electroencephalogram Alpha Power Is Associated with Postoperative Mortality and Other Adverse Outcomes

AnesthesiologyPublished Retrospective cohort study

Main finding · Postoperative mortality risk per alpha powerResult — go to the resultHazard ratio 0.92 95% CI 0.85–0.99

Authors' conclusion

Intraoperative EEG alpha power is independently associated with postoperative mortality and adverse outcomes

Study context

Population
Patients undergoing surgery with GA with intraoperative EEG recordings at Massachusetts General Hospital (Boston, Massachusetts)
Participants
1,081 patients
Exposure
Intraoperative frontal EEG alpha power and postoperative outcomes
Outcome
Postoperative mortality, measured from date of surgery to date of death or last follow-up
Methodological detailspropensity weighted, single-centre
  • Propensity weighted
  • Single-centre

Main finding

Postoperative mortality risk per alpha power

Hazard ratio

0.92

95% CI 0.85–0.99

P = 0.039

Alpha power
HR 0.92 (95% CI 0.85–0.99); P = 0.039

Per alpha power, as printed

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

30-day mortality

OR (95% CI)P value
Alpha power0.81 (0.66–0.95)P = 0.010

90-day mortality

OR (95% CI)P value
Alpha power0.68 (0.55–0.79)P < 0.001

180-day mortality

OR (95% CI)P value
Alpha power0.75 (0.66–0.83)P < 0.001

1-yr mortality

OR (95% CI)P value
Alpha power0.85 (0.79–0.91)P < 0.001

Discharge to long-term care

OR (95% CI)P value
Alpha power0.91 (0.86–0.96)P < 0.001

30-day readmission, hospital and PACU LOS

No significant associations with alpha power

Original publication

Intraoperative Frontal Electroencephalogram Alpha Power Is Associated with Postoperative Mortality and Other Adverse Outcomes. Anesthesiology. Published 27 November 2024. doi:10.1097/aln.0000000000005315

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.