None listed
Conditions
Brief summary
The purpose of this study was to explore the relationship between measures of general level of health and EEG characteristics, in particular power in the alpha (8-13Hz) band, during routine anaesthesia. This was done by comparing EEG energy with assessment of the patient's physical and cognitive abilities and the self-assessed ability with which they could carry out routine tasks required of everyday living. We hypothesized that prior awareness of poor physical or cognitive health may allow the anaesthetist to take steps to reduce the risk of post-operative cognitive complications.
Interventions
Preoperative administration of: the Montreal Cognitive Assessment (MOCA), the WHO disability assessment schedule (WHODAS), the Edmonton Frailty assessment - and a timed ‘get up & go test’ (TUG). Administered/overseen by a single study researcher (for consistency) in the hospital setting prior to surgery. The assessments take approximately 30 minutes in total and, excepting the WHODAS, carried out only once. The WHODAS to be repeated (in-house) at Day 1 post-op and, usually, via telephone at Day 30 post-op. Duration of each follow-up approximately 5-10 minutes. EEG monitoring will be carried out by the procedural anaesthetist in the normal way and data collection will commence 15 minutes after the induction of anaesthesia and continue for a total of 20 minutes. Study description: Participants recruited between October 2018 and January 2019. Subjects were surgical candidates 65 years or older. Exclusion criteria included cardiac, neurological, or hip procedures, or inability to complete the initial health assessment questionnaires. Consenting participants completed four assessments: The WHO Disability Assessment Schedule (WHODAS), the Edmonton Frail Scale, the Timed Get Up and Go (TUG) and the Montreal Cognitive Assessment (MoCA). During anaesthesia a Masimo Sedline pEEG monitor was used. Anesthesia management was not standardized. Raw EEG data from the four frontal channels used by Sedline were downloaded and analysed offline. The primary outcome measure was mean absolute alpha power over the 20 min period commencing 15min after induction of anaesthesia. WHODAS was repeated at post-op days 1 & one month.
Sponsors
Eligibility
Inclusion criteria
Patients aged 65 years and over in whom the anaesthetist plans to use processed EEG monitoring. No significant dementia and sufficiently fluent in English to give consent and be able to complete the questionnaires. Patients selected to allow the preoperative assessments to be conducted without delaying surgery.
Exclusion criteria
Patients undergoing intracranial or cardiac surgery; Patients with neck of femur fractures; Patients with significant dementia; Patients lacking fluency in English.