Anesthetic drugs & techniques

Processed electroencephalography-guided general anaesthesia to reduce postoperative delirium: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultPooled odds ratio 0.78 95% CI 0.60–1.00

Authors' conclusion

Our primary analysis demonstrated a highly sensitive result with a pooled analysis of trials in which the intervention group adhered to manufacturer's recommended guidelines, showing reduced incidence of POD with pEEG guidance.

Study context

Population
Adults having GA for any surgery (sedation and intensive care settings excluded)
Participants
4,648 adults · 9 studies
Comparison
Processed electroencephalography (pEEG)-guided GA or lighter pEEG target vs usual care or deeper pEEG target
  • pEEG-guided GA or lighter pEEG targetn = 2,310
  • Usual care or deeper pEEG targetn = 2,338reference
Outcome
Postoperative delirium (POD) assessed by validated tools
Methodological detailsupdated, prospectively registered
  • Updated
  • Prospectively registered

Pooled result

As reported in the abstract

Pooled odds ratio

0.78

95% CI 0.60–1.00

P = 0.054

Events by group

pEEG-guided GA or lighter pEEG target vs Usual care or deeper pEEG target
pooled OR 0.78 (95% CI 0.60–1.00); P = 0.054

Original publication

Processed electroencephalography-guided general anaesthesia to reduce postoperative delirium: a systematic review and meta-analysis. Br J Anaesth. Published 17 February 2022. doi:10.1016/j.bja.2022.01.006

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