Association between intraoperative electroencephalograph complexity index and postoperative delirium in elderly patients undergoing orthopedic surgery: a prospective cohort study

Oh ES, Fong TG, Hshieh TT, Inouye SK. Delirium in older persons: advances in diagnosis and treatment. JAMA. 2017;318(12):1161–74.

Article  PubMed  PubMed Central  Google Scholar 

Evered L, Atkins K, Silbert B, Scott DA. Acute peri-operative neurocognitive disorders: a narrative review. Anaesthesia. 2022;77(Suppl 1):34–42.

Article  PubMed  Google Scholar 

Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet. 2014;383(9920):911–22.

Article  PubMed  Google Scholar 

Bokeriia LA, Golukhova EZ, Polunina AG. Postoperative delirium in cardiac operations: microembolic load is an important factor. Ann Thorac Surg. 2009;88(1):349–51.

Article  PubMed  Google Scholar 

Guan HL, Liu H, Hu XY, Abdul M, Dai MS, Gao X, Chen XF, Zhou Y, Sun X, Zhou J, Li X, Zhao Q, Zhang QQ, Wang J, Han Y, Cao JL. Urinary albumin creatinine ratio associated with postoperative delirium in elderly patients undergoing elective non-cardiac surgery: a prospective observational study. CNS Neurosci Ther. 2022;28(4):521–30.

Article  CAS  PubMed  Google Scholar 

Xing H, Zhou W, Fan Y, Wen T, Wang X, Chang G. Development and validation of a postoperative delirium prediction model for patients admitted to an intensive care unit in China: a prospective study. BMJ Open. 2019;9(11): e030733.

Article  PubMed  PubMed Central  Google Scholar 

Ling YT, Guo QQ, Wang SM, Zhang LN, Chen JH, Liu Y, Xuan RH, Qu B, Liu LG, Wen ZS, Xu JK, Jiang LL, Xian WB, Wu B, Zhang CM, Chen L, Liu JL, Jiang N. Nomogram for prediction of postoperative delirium after deep brain stimulation of subthalamic nucleus in Parkinson’s disease under general anesthesia. Parkinsons Dis. 2022;2022:6915627.

PubMed  PubMed Central  Google Scholar 

Cao KX, Ma ML, Wang CZ, Iqbal J, Si JJ, Xue YX, Yang JL. TMS-EEG: an emerging tool to study the neurophysiologic biomarkers of psychiatric disorders. Neuropharmacology. 2021;197: 108574.

Article  CAS  PubMed  Google Scholar 

Acharya UR, Sudarshan VK, Adeli H, Santhosh J, Koh JE, Puthankatti SD, Adeli A. A novel depression diagnosis index using nonlinear features in EEG signals. Eur Neurol. 2015;74(1–2):79–83.

Article  PubMed  Google Scholar 

Colombo MA, Napolitani M, Boly M, Gosseries O, Casarotto S, Rosanova M, Brichant JF, Boveroux P, Rex S, Laureys S, Massimini M, Chieregato A, Sarasso S. The spectral exponent of the resting EEG indexes the presence of consciousness during unresponsiveness induced by propofol, xenon, and ketamine. Neuroimage. 2019;189:631–44.

Article  CAS  PubMed  Google Scholar 

Brito MA, Li D, Fields CW, Rybicki-Kler C, Dean JG, Liu T, Mashour GA, Pal D. Cortical acetylcholine levels correlate with neurophysiologic complexity during subanesthetic ketamine and nitrous oxide exposure in rats. Anesth Analg. 2022;134(6):1126–39.

Article  CAS  PubMed  Google Scholar 

Andersen BM, Faust Akl C, Wheeler MA, Chiocca EA, Reardon DA, Quintana FJ. Glial and myeloid heterogeneity in the brain tumour microenvironment. Nat Rev Cancer. 2021;21(12):786–802.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Azami H, Daftarifard E, Humeau-Heurtier A, Fernandez A, Abasolo D, Rajji TK. Assessment and comparison of nonlinear measures in resting-state magnetoencephalograms in Alzheimer’s disease and mild cognitive impairment. J Alzheimers Dis. 2023;96(3):1151–62.

Article  CAS  PubMed  Google Scholar 

Jiao B, Li R, Zhou H, Qing K, Liu H, Pan H, Lei Y, Fu W, Wang X, Xiao X, Liu X, Yang Q, Liao X, Zhou Y, Fang L, Dong Y, Yang Y, Jiang H, Huang S, Shen L. Neural biomarker diagnosis and prediction to mild cognitive impairment and Alzheimer’s disease using EEG technology. Alzheimers Res Ther. 2023;15(1):32.

Article  PubMed  PubMed Central  Google Scholar 

Crampon K, Giorkallos A, Deldossi M, Baud S, Steffenel LA. Machine-learning methods for ligand-protein molecular docking. Drug Discov Today. 2022;27(1):151–64.

Article  CAS  PubMed  Google Scholar 

Coudray N, Ocampo PS, Sakellaropoulos T, Narula N, Snuderl M, Fenyö D, Moreira AL, Razavian N, Tsirigos A. Classification and mutation prediction from non-small cell lung cancer histopathology images using deep learning. Nat Med. 2018;24:1559–67.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Hosny A, Parmar C, Quackenbush J, Schwartz LH, Aerts HJWL. Artificial intelligence in radiology. Nat Rev Cancer. 2018;18:500–10.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Braillon A, Naudet F. STROBE and pre-registration of observational studies. BMJ. 2023;380:90.

Article  PubMed  Google Scholar 

Fialho Silva IT, Assis Lopes P, Timotio Almeida T, Ramos SC, Caliman Fontes AT, Guimarães Silva D, Martins Soares C, Oliveira Carneiro L, Souza IFB, Ferreira Abreu F, Nascimento Silva G, de MascarenhasSouza L, Brito Pinheiro T, de Souza E, Silva FN, de Santana JP, Kelly Silva B, Almeida Souza D, Silva Macedo S, Almeida Ismael LS, Pereira de Jesus PA. Impact of Delirium and Its Motor Subtypes on Stroke Outcomes. Stroke. 2021;52(4):1322–9.

Article  CAS  PubMed  Google Scholar 

Liu X, Nakano M, Yamaguchi A, Bush B, Akiyoshi K, Lee JK, Koehler RC, Hogue CW, Brown CH 4th. The association of bispectral index values and metrics of cerebral perfusion during cardiopulmonary bypass. J Clin Anesth. 2021;74: 110395.

Article  PubMed  PubMed Central  Google Scholar 

Ely EW, Margolin R, Francis J, May L, Truman B, Dittus R, Speroff T, Gautam S, Bernard GR, Inouye SK. Evaluation of delirium in critically ill patients: validation of the confusion assessment method for the intensive care unit (CAM-ICU). Crit Care Med. 2001;29(7):1370–9.

Article  CAS  PubMed  Google Scholar 

Xu X, Hu X, Wu Y, Li Y, Zhang Y, Zhang M, Yang Q. Effects of different BP management strategies on postoperative delirium in elderly patients undergoing hip replacement: a single center randomized controlled trial. J Clin Anesth. 2020;62: 109730.

Article  PubMed  Google Scholar 

Tao M, Zhang S, Han Y, Li C, Wei Q, Chen D, Zhao Q, Yang J, Liu R, Fang J, Li X, Zhang H, Liu H, Cao JL. Efficacy of transcranial direct current stimulation on postoperative delirium in elderly patients undergoing lower limb major arthroplasty: a randomized controlled trial. Brain Stimul. 2023;16(1):88–96.

Article  PubMed  Google Scholar 

Fitzgibbon SP, DeLosAngeles D, Lewis TW, Powers DM, Whitham EM, Willoughby JO, Pope KJ. Surface Laplacian of scalp electrical signals and independent component analysis resolve EMG contamination of electroencephalogram. Int J Psychophysiol. 2015;97(3):277–84.

Article  CAS  PubMed  Google Scholar 

Ren Z, Yue M, Han X, Zhao Z, Wang B, Hong Y, Zhao T, Wang N, Zhao P, Hong Y, Wang Q, Zhao Y. The potential of the Lempel-Ziv complexity of the EEG in diagnosing cognitive impairment in patients with temporal lobe epilepsy. Epileptic Disord. 2023;25(3):331–42.

Article  CAS  PubMed  Google Scholar 

Wu T, Sun F, Guo Y, Zhai M, Yu S, Chu J, Yu C, Yang Y. Spatio-temporal dynamics of entropy in EEGS during music stimulation of Alzheimer’s Disease patients with different degrees of Dementia. Entropy (Basel). 2022;24(8):1137.

Article  PubMed  Google Scholar 

Akar SA, Kara S, Latifoğlu F, Bilgiç V. Analysis of the complexity measures in the EEG of schizophrenia patients. Int J Neural Syst. 2016;26(2):1650008.

Article  PubMed  Google Scholar 

Altıntop ÇG, Latifoğlu F, Akın AK, Bayram A, Çiftçi M. Classification of depth of coma using complexity measures and nonlinear features of electroencephalogram signals. Int J Neural Syst. 2022;32(5):2250018.

Article  PubMed  Google Scholar 

Gaggioni G, Shumbayawonda E, Montanaro U, Ly JQM, Phillips C, Vandewalle G, Abásolo D. Time course of cortical response complexity during extended wakefulness and its differential association with vigilance in young and older individuals. Biochem Pharmacol. 2021;191: 114518.

Article  CAS  PubMed  Google Scholar 

Fang PP, Shang ZX, Xu J, Hu J, Zhang SC, Fan YG, Lu Y, Liu XS, Maze M. Contribution of intraoperative electroencephalogram suppression to frailty-associated postoperative delirium: mediation analysis of a prospective surgical cohort. Br J Anaesth. 2023;130(2):e263–71.

Article  PubMed 

Comments (0)

No login
gif