Evidence mapPaperPMID 33069620Full record

SynthesisClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2021

Investigating how electroencephalogram measures associate with delirium: A systematic review.

Monique S Boord, Bahar Moezzi, Daniel Davis, Tyler J Ross, Scott Coussens, Peter J Psaltis, Alice Bourke, Hannah A D Keage

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06394778 (Electroencephalogram Characteristics of Surgical Anesthetized Patients and Their Correlation With Postoperative Delirium), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06394778 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Electroencephalogram Characteristics of Surgical Anesthetized Patients and Their Correlation With Postoperative Delirium

Typeobservational_patient_registrySponsorFirst Affiliated Hospital of Zhejiang UniversityRan2024 to 2027Enrolled375ConditionsElectroencephalogram, Postoperative Delirium (POD)ArmsDelirium test scale:3D-CAM
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Electrographic Features of Catatonia With or Without Comorbid Delirium.The Journal of neuropsychiatry and clinical neurosciences · 2026
    Article
  9. Bedside EEG for rapid diagnosis of delirium.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Clinical and intracranial electrophysiological signatures of post-operative and post-ictal delirium.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Investigating delirium in stroke with an EEG lens: Focal lesions with global impact?Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Monique S BoordCognitive Ageing and Impairment Neurosciences Laboratory, Justice and Society, University of South Australia, Adelaide, Australia. Electronic address: monique.boord@mymail.unisa.edu.au.
Bahar MoezziCognitive Ageing and Impairment Neurosciences Laboratory, Justice and Society, University of South Australia, Adelaide, Australia.
Daniel DavisMRC Unit for Lifelong Health and Ageing at UCL, London, United Kingdom.
Tyler J RossCognitive Ageing and Impairment Neurosciences Laboratory, Justice and Society, University of South Australia, Adelaide, Australia.
Scott CoussensCognitive Ageing and Impairment Neurosciences Laboratory, Justice and Society, University of South Australia, Adelaide, Australia.
Peter J PsaltisVascular Research Centre, Heart and Vascular Program, Lifelong Health Theme, South Australian Health and Medical Research Institute, Adelaide, Australia; Department of Cardiology, Central Adelaide Local Health Network, Adelaide, Australia; Adelaide Medical School, University of Adelaide, Adelaide, Australia.
Alice BourkeDepartment of Geriatric and Rehabilitation Medicine, Royal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, Australia.
Hannah A D KeageCognitive Ageing and Impairment Neurosciences Laboratory, Justice and Society, University of South Australia, Adelaide, Australia.
University of South Australia · AUMRC Unit for Lifelong Health and Ageing · GBRoyal Adelaide Hospital · AUWomen's and Children's Health Network · AU

Funding

Wellcome Trust 107467/Z/15/Z
6 · The paper itself

Abstract

Delirium is a common neurocognitive disorder in hospital settings, characterised by fluctuating impairments in attention and arousal following an acute precipitant. Electroencephalography (EEG) is a useful method to understand delirium pathophysiology. We performed a systematic review to investigate associations between delirium and EEG measures recorded prior, during, and after delirium. A total of 1,655 articles were identified using PsycINFO, Embase and MEDLINE, 31 of which satisfied inclusion criteria. Methodological quality assessment was undertaken, resulting in a mean quality score of 4 out of a maximum of 5. Qualitative synthesis revealed EEG slowing and reduced functional connectivity discriminated between those with and without delirium (i.e. EEG during delirium); the opposite pattern was apparent in children, with cortical hyperexcitability. EEG appears to have utility in differentiating those with and without delirium, but delirium vulnerability and the long-term effects on brain function require further investigation. Findings provide empirical support for the theory that delirium is a disorder of reduced functional brain integration.

Indexed as

BrainDeliriumElectroencephalographyHumansDeliriumEEGElectroencephalographyReview

Identifiers

PMID33069620
PMCPMC8410607
OpenAlexW3090181587

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.