Observational studyThe clinical respiratory journal2026
Novel Type IV Monitoring Device With Advanced Oximetry Indicators Offers Accurate Diagnosis of Obstructive Sleep Apnea in Adults.
Observational study in The clinical respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Novel Type IV Monitoring Device With Advanced Oximetry Indicators Offers Accurate Diagnosis of Obstructive Sleep Apnea in Adults.The clinical respiratory journal · 2026Observational
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Authors and funding
8 authors.
Funding
Abstract
backgroundType IV sleep monitors offer a low-burden option for obstructive sleep apnea (OSA) screening, yet their accuracy is often limited by motion artifacts and variability in signal-processing methods. The PM50-B is a wrist-worn Type IV device that combines high-sampling-rate (200 Hz) photoplethysmography (PPG)-based oximetry with wrist actigraphy to reduce motion artifacts and employs an adaptive SpO
methodsIn this prospective observational study, adults with suspected OSA underwent simultaneous overnight recording with the PM50-B and a reference test: in-laboratory polysomnography (Type I), unattended polysomnography (Type II), or Type III home sleep apnea testing (HSAT). Oximetry and actigraphy signals were processed using a standardized workflow incorporating motion-artifact attenuation, signal stabilization, and sleep-wake estimation. From the SpO
resultsA total of 475 participants were analysed (Type I, n = 37; Type II, n = 32; Type III, n = 406). ODI2.5_5 showed moderate-to-good agreement with AHI (ICC = 0.710) and good discrimination for moderate-to-severe OSA (AHI ≥ 15 events/h), with an under the curve (AUC) of 0.925 (sensitivity 81.20%, specificity 91.00%). Diagnostic performance was consistent across reference modalities (AUC range, 0.928-0.983).
conclusionThe PM50-B provides clinically acceptable accuracy for OSA screening when combined with a standardized signal-processing approach, particularly in comparison with Type III HSAT. ODI2.5_5 emerged as the strongest diagnostic metric, while CT90, CT95, and lowest SpO
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