ArticleNeuropsychiatric disease and treatment2025
The Impact of Electroencephalogram-Guided General Anesthesia on Postoperative Delirium and Recovery in Patients Over 60 with Hip Fractures: A Retrospective Cohort Study.
Article in Neuropsychiatric disease and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Electroencephalographic phenotypes of postoperative delirium in the perioperative period.Journal of anesthesia and translational medicine · 2026Review
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5 authors.
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Abstract
Background: Hip fractures in the elderly often lead to high morbidity, prolonged hospitalization, and postoperative delirium-a prevalence noted to affect up to 50% of such patients. This study evaluates whether electroencephalogram (EEG)-guided general anesthesia can reduce postoperative delirium and enhance recovery in elderly hip fracture cases. Methods: This retrospective cohort study analyzed patients aged ≥60 years who underwent hip fracture surgery under general anesthesia from November 2022 to May 2024. After propensity score matching, patients were divided into two groups: routine anesthesia (n=118) and EEG-guided anesthesia (n=105). Outcomes measured included the incidence of delirium (Confusion Assessment Method), cognitive recovery (SLUMS, Saint Louis University Mental Status Examination), hospital stay duration, post-anesthesia care unit (PACU) stay duration, and patient satisfaction. Results: The EEG-guided group showed significant reductions in the incidence of postoperative delirium on the first and third days (8.57% vs 20.34%, Conclusion: EEG-guided general anesthesia seems to be associated with lower rates of early postoperative delirium and improved cognitive recovery in elderly patients with hip fractures.
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