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. Author manuscript; available in PMC: 2013 Mar 1.
Published in final edited form as: Anesth Analg. 2012 Jan 17;114(3):533–546. doi: 10.1213/ANE.0b013e31823ee030

Table 3.

Summary of studies on BIS and mortality

Characteristics Monk et al.; 2005[68] Lindholm et al.; 2009 [69] Leslie et al.; 2010 [70] Kertai et al., 2010 [34] Kertai et al., 2011[71]
Number of patients studied 1,064 4,087 2,463 460 1,473
Cardiac surgery patients (%) 0 0 49 100 0
Age (yr) 51 (37-65) 50 (36-65) 61 (46-71) 64 (55-73) 59 (48-69)
Male sex (%) 37 38 62 62 51
ASA physical status ≥3 (%) 35 6 74 98 63
Duration of anesthesia (h) 3.1 (2.3-4.3) 1.8 (1.2-2.5) 3.1 (1.4-4.4) 6.1 (5.2-7.1) 3.4 (2.1-4.9)
Volatile maintenance (%) 91 95 57 100 100
BIS monitoring (%) 100 100 50 100 100
Anesthesiologists blind to BIS Yes No No 50% 50%
Average BIS 49±9 37±7 45±7 40±7 45±8
Follow-up (yr) 1 2 4 3 3
30-day mortality (%) 0.7 0.7 4.3 3.5 1.5
1-year mortality (%) 5.5 4.3 10.8 10.7 9.8
2-year mortality (%) - 6.5 14.6 14.3 16.4
Mortality at the end of the follow-up (%) - - 22.2 17.8 22.8
Relative risk for mortality per hour BIS <45 (95%CI)* 1.24 (1.06 to 1.44) 1.08 (0.99 to 1.18) 1.41 (1.02 to 1.95) 1.29 (1.12 to 1.49) 1.03 (0.93 to 1.14)

Table was modified from Leslie et al.,70; Data are reported as mean±SD, median (interquartile range), count, or percent; ASA, American Society of Anesthesiologists, BIS, Bispectral Index; CI, confidence interval

*

corrected for clinical risk factors and intraoperative variables