Evidence map›Paper›PMID 40773145›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Belun Sleep Platform versus in-lab polysomnography for obstructive sleep apnea diagnosis.

Vipada Tirachaimongkol, Wish Banhiran, Wattanachai Chotinaiwattarakul, Sarin Rungmanee, Chawanon Pimolsri, Jindapa Srikajon, Navarat Kasemsuk

Abstract readComparative Study
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vipada TirachaimongkolDepartment of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok Noi, Bangkok, 10700, Thailand.
Wish BanhiranDepartment of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok Noi, Bangkok, 10700, Thailand.ORCID 0000-0002-4029-6657
Wattanachai ChotinaiwattarakulSiriraj Sleep Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-4909-1615
Sarin RungmaneeSiriraj Sleep Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-2662-6370
Chawanon PimolsriSiriraj Sleep Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Jindapa SrikajonSiriraj Sleep Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0009-0008-1009-4959
Navarat KasemsukDepartment of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok Noi, Bangkok, 10700, Thailand. mintkus32@hotmail.com.ORCID 0000-0001-7670-3763

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to compare the Belun Sleep Platform (BSP), an artificial intelligence-driven home sleep testing device, with polysomnography (PSG) for diagnosing obstructive sleep apnea. The BSP analyzes oxygen saturation, heart rate, and accelerometry patterns.

methodsParticipants scheduled for PSG and with no significant cardiovascular or neuromuscular comorbidities were recruited. They underwent simultaneous in-laboratory, full-night PSG with the BSP. We assessed diagnostic properties, including sensitivity, specificity, positive predictive value, negative predictive value, and accuracy.

resultsA total of 40 participants (54.3% male) with a mean age of 49.9 years were enrolled. For an apnea-hypopnea index (AHI) cutoff of ≥ 15 events/h, BSP showed an accuracy of 68.5%, sensitivity of 35.2%, and specificity of 100% under American Academy of Sleep Medicine criteria 1 A and 1B. For AHI thresholds of ≥ 5 and ≥ 30 events/h, sensitivity was 82.1% and 33.3%, respectively, while specificity was 14.2% and 100%, respectively. BSP-AHI correlated moderately with PSG-AHI (intraclass correlation coefficient [ICC] = 0.737). BSP's oxygen desaturation index (ODI) showed a strong correlation with PSG-ODI (ICC = 0.882). Moderate correlations were observed between BSP and PSG for non-rapid eye movement sleep duration (ICC = 0.736), rapid eye movement sleep duration (ICC = 0.664), total sleep time (ICC = 0.617), and sleep efficiency (ICC = 0.719).

conclusionsThe BSP's high specificity but low sensitivity suggests it serves better as a confirmatory tool rather than a primary screening method. Its moderate concordance with PSG underscores its potential in settings where PSG is unavailable. However, further investigation is needed to refine its clinical applications.

Indexed as

Monitoring, AmbulatoryPolysomnographySleep Apnea, ObstructiveAccelerometryAdultFemaleHumansMaleMiddle AgedSensitivity and SpecificityBelun Sleep PlatformHome sleep apnea testingObstructive sleep apneaPolysomnography

Identifiers

PMID40773145
PMCPMC12331828

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Registered trials

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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.