Table 5.
Published trials randomizing patients to BIS-guided anesthesia or usual care or another comparator for reduction of postoperative delirium
| Study | Patient population | Group 1 (n) | Group 2 (n) | Odds ratio for delirium (group 1 vs group 2) |
|---|---|---|---|---|
| Sieber et al.(7), 2010 | ≥65yo, hip fracture repair under spinal anesthesia with propofol sedation | BIS ≥ 80 (57) | BIS ≈ 50 (57) | 0.35 (0.15-0.82) |
| Chan et al.(6), 2013 | >60yo, elective major noncardiac surgery | BIS-guided (450) | Routine care (452) | 0.58 (0.41-0.80) |
| Radtke et al.(8), 2013 | >60yo, elective major noncardiac surgery | BIS-guided (575) | Routine care (580) | 0.73 (0.54-0.98) |
| Whitlock et al. (present article) | Elective cardiac and thoracic surgery | BIS-guided (149) | ETAC-guided (161) | 0.60 (0.35-1.02) |
| Meta-analysis of the above studies | (1231) | (1250) | 0.56 (0.42-0.73) | |