The potential of processed EEG monitoring systems in predicting postoperative cognitive deficits

J Clin AnesthPublished Diagnostic accuracy study

Authors' conclusion

This study highlights the potential of preoperative pEEG monitoring to identify patients at risk for POD in an elderly surgical population.

Study context

Population
Patients undergoing surgery under GA with artifact-free preoperative EEG recordings; median age 71 years80 analysed
Participants
110 patients
Comparison
Preoperative processed electroencephalogram (pEEG) indices in patients with vs without postoperative delirium (POD)
  • PODn = 24
Outcome
Association between preoperative pEEG indices and POD (discrimination by AUC)
Methodological detailsThirty patients excluded due to corrupted baseline data
  • Thirty patients excluded due to corrupted baseline data

Performance

As reported in the abstract

Preoperative pEEG indices, POD vs no POD

All indices except spectral edge frequency (SEF) significantly lower at EC baseline in patients with PND; small effect sizes, AUC range

0.62 to 0.65

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The potential of processed EEG monitoring systems in predicting postoperative cognitive deficits. J Clin Anesth. Published 20 May 2026. doi:10.1016/j.jclinane.2026.112219

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