Delirium detection using relative delta power based on 1-minute single-channel EEG: a multicentre study

Peelen, Linda M.; Abawi, Masieh; Boogaard, Mark van den; Claassen, Jurgen A.H.R.; Coesmans, Michael; Dautzenberg, Paul L. J.; Dhondt, Ton A. Df.; Diraoui, Shiraz B.; Eikelenboom, Piet; Emmelot-Vonk, Mariëlle H.; Faaij, Richard A.; Gool, Willem A. van; Groot, Erwin R.; Bruijn, Carla Hagestein-de; Hovens, Jacqueline G. Fm.; Jagt, Mathieu van der; Jonghe, Annemarieke de; Kamper, Adriaan M.; Koek, Huiberdine L.; Kooi, Arendina W. van der; Kromkamp, Marjan; Lagro, Joep; Leentjens, Albert F.G.; Lefeber, Geert J.; Leijten, Frans S.S.; Leue, Carsten; Man, Tjarda de; Marum, Rob J. van; Mast, Roos C. van der; Munster, Barbara C. Van; Numan, Tianne; Osse, Robert Jan; Portier, C. Barbara; Ottenheim, Nathaly Rius; Rood, Paul; Röder, Christian; Schoon, Yvonne; Slooter, Arjen J. C.; Tromp, Arjen; Vlugt, Joris B. van der; Vondeling, Ariël M.; Wassenaar, Annelies; Weinstein, Henry C.; Witlox, Joost; Zanten, Jeroen S. van; Zeman, Philip M.; Zwaag, Sanneke van der

doi:10.1016/j.bja.2018.08.021

Cited by 66 publications

(68 citation statements)

References 45 publications

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“…Recent studies demonstrate patients with postoperative delirium exhibit neurophysiological patterns detectable by modern signal processing and machine learning methods. 26 Future research would benefit from standardized approaches to specimen collection, analyses, data reporting, imaging sequences, and biomarker assessment.…”

Section: Fluid (Blood Cerebrospinal) and Neurophysiological Biomarkementioning

confidence: 99%

A roadmap to advance delirium research: Recommendations from the NIDUS Scientific Think Tank

Akeju

Avidan

et al. 2020

Alzheimer's & Dementia

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Delirium is an acute disorder of attention and cognition. It occurs across the life span, yet it is particularly common among older adults, and is closely linked with underlying neurocognitive disorders. Evidence is mounting that intervening on delirium may represent an important opportunity for delaying the onset or progression of dementia. To accelerate the current understanding of delirium, the Network for Investigation of Delirium: Unifying Scientists (NIDUS) held a conference "Advancing Delirium Research: A Scientific Think Tank" in June 2019. This White Paper encompasses the major knowledge and research gaps identified at the conference: advancing delirium definition and measurement, understanding delirium pathophysiology, and prevention and treatment of delirium. A roadmap of research priorities is proposed to advance the field in a systematic, interdisciplinary, and coordinated fashion. A call is made for an international This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. c

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Section: Fluid (Blood Cerebrospinal) and Neurophysiological Biomarkementioning

confidence: 99%

A roadmap to advance delirium research: Recommendations from the NIDUS Scientific Think Tank

Akeju

Avidan

et al. 2020

Alzheimer's & Dementia

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“…While not yet used in current clinical practice, EEG has emerging potential for detection of cognitive dysfunction. In prospective studies, postoperative delirium is associated with higher delta power in the frontal lobes during eyesclosed EEG recording (73,74). Functional connectivity between different regions of the cortex is also disrupted in delirium.…”

Section: Eeg and Prevention Of Perioperative Neurocognitive Disordersmentioning

confidence: 99%

Electroencephalography: Clinical Applications During the Perioperative Period

et al. 2020

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Electroencephalography (EEG) monitoring has become technically feasible in daily clinical anesthesia practice. EEG is a sensitive method for detecting neurophysiological changes in the brain and represents an important frontier in the monitoring and treatment of patients in the perioperative period. In this review, we briefly introduce the essential principles of EEG. We review EEG application during anesthesia practice in the operating room, including the use of processed EEG in depth of anesthesia assessment, raw EEG monitoring in recognizing brain states under different anesthetic agents, the use of EEG in the prevention of perioperative neurocognitive disorders and detection of cerebral ischemia. We then discuss EEG utilization in the intensive care units, including the use of EEG in sedative level titration and prognostication of clinical outcomes. Existing literature provides insight into both the advances and challenges of the clinical applications of EEG. Future study is clearly needed to elucidate the precise EEG features that can reliably optimize perioperative care for individual patients.

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“…Zwischen Gas-Narkosen und Propofol ließ sich in einem Cochrane Review kein klarer Unterschied in der Delirinzidenz feststellen [62]. Allerdings zeigte sich, dass ein zerebral orientiertes Monitoring (mittels bispektralem Index, akustisch evozierten Potenzialen oder Elektroenzephalographie) zur Steuerung der Anäthesietiefe mit einem signifikant reduzierten Risiko für POD assoziiert ist [63,64]. Außerdem konnte eindeutig gezeigt werden, dass Benzodiazepine das Risiko für ein POD erhöhen [65].…”

Section: Dfpunclassified