Evidence map›Paper›PMID 35554589›Full record

ArticleSleep2022

A multicentric validation study of a novel home sleep apnea test based on peripheral arterial tonometry.

Bart Van Pee, Frederik Massie, Steven Vits, Pauline Dreesen, Susie Klerkx, Jagdeep Bijwadia, Johan Verbraecken, Jeroen Bergmann

Erratum issuedAbstract read
In one paragraph

Article in Sleep, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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  6. Validation of an artificial intelligence based single-channel photoplethysmography home sleep apnea test.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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  9. Review
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  12. Observational
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  15. Context-aware analysis enhances autoscoring accuracy of home sleep apnea testing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  16. Multidiagnostic chest-worn patch to detect obstructive sleep apnea and cardiac arrhythmias.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Bart Van PeeDepartment of Engineering, Natural Interaction Lab, Thom Building, University of Oxford, Oxford, UK.
Frederik MassieDepartment of Engineering, Natural Interaction Lab, Thom Building, University of Oxford, Oxford, UK.
Steven VitsFaculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Pauline DreesenFuture Health Department, Ziekenhuis Oost-Limburg, Genk, Belgium and Mobile Health Unit, Faculty of Health and Life Sciences, Hasselt University, Hasselt, Belgium.
Susie KlerkxDepartment of Pneumology, Ziekenhuis Oost-Limburg, Genk, Belgium.
Jagdeep BijwadiaDepartment of Pulmonary Critical Care and Sleep Medicine, University of Minnesota, Minneapolis, MN, USA.
Johan VerbraeckenDepartment of Pulmonary Medicine and Multidisciplinary Sleep Disorders Centre, Antwerp University Hospital, Edegem,Belgium.
Jeroen BergmannDepartment of Engineering, Natural Interaction Lab, Thom Building, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesThis paper reports on the multicentric validation of a novel FDA-cleared home sleep apnea test based on peripheral arterial tonometry (PAT HSAT).

methodsOne hundred sixty-seven participants suspected of having obstructive sleep apnea (OSA) were included in a multicentric cohort. All patients underwent simultaneous polysomnography (PSG) and PAT HSAT, and all PSG data were independently double scored using both the recommended 1A rule for hypopnea, requiring a 3% desaturation or arousal (3% Rule), and the acceptable 1B rule for hypopnea, requiring a 4% desaturation (4% Rule). The double-scoring of PSG enabled a comparison of the agreement between PAT HSAT and PSG to the inter-rater agreement of PSG. Clinical endpoint parameters were selected to evaluate the device's ability to determine the OSA severity category. Finally, a correction for near-boundary apnea-hypopnea index values was proposed to adequately handle the inter-rater variability of the PSG benchmark.

resultsFor both the 3% and the 4% Rules, most endpoint parameters showed a close agreement with PSG. The 4-way OSA severity categorization accuracy of PAT HSAT was strong, but nevertheless lower than the inter-rater agreement of PSG (70% vs 77% for the 3% Rule and 78% vs 81% for the 4% Rule).

conclusionsThis paper reported on a multitude of robust endpoint parameters, in particular OSA severity categorization accuracies, while also benchmarking clinical performances against double-scored PSG. This study demonstrated strong agreement of PAT HSAT with PSG. The results of this study also suggest that different brands of PAT HSAT may have distinct clinical performance characteristics.

Indexed as

Sleep Apnea, ObstructiveSleep Apnea SyndromesArousalHumansManometryPolysomnographydouble-scoringendpoint designhome sleep apnea testingperipheral arterial tonometrysympathetic tone

Identifiers

PMID35554589
PMCPMC9113027

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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 OpenQuestion graph.