{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T01:44:14Z","timestamp":1785894254156,"version":"3.56.0"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Sleep Medicine"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.sleep.2026.109075","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T23:49:48Z","timestamp":1781048988000},"page":"109075","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["External validation of a fingertip wearable device for obstructive sleep apnea diagnosis and split-night tracking of CPAP treatment response"],"prefix":"10.1016","volume":"146","author":[{"given":"Ke-Wei","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aatif M.","family":"Husain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Rapoport","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0253-3156","authenticated-orcid":false,"given":"Hau-Tieng","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.sleep.2026.109075_bib1","first-page":"1311","article-title":"Obstructive sleep apnea is a common disorder in the population-a review on the epidemiology of sleep apnea","volume":"7","author":"Franklin","year":"2015","journal-title":"J Thorac Dis"},{"key":"10.1016\/j.sleep.2026.109075_bib2","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S2213-2600(19)30271-1","article-title":"Effect of obstructive sleep apnoea and its treatment with continuous positive airway pressure on the prevalence of cardiovascular events in patients with acute coronary syndrome (ISAACC study): a randomised controlled trial","volume":"8","author":"S\u00e1nchez-de-la-Torre","year":"2020","journal-title":"Lancet Respir Med"},{"key":"10.1016\/j.sleep.2026.109075_bib3","doi-asserted-by":"crossref","first-page":"1823","DOI":"10.5664\/jcsm.11290","article-title":"OSA diagnosis goes wearable: are the latest devices ready to shine?","volume":"20","author":"Chiang","year":"2024","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib4","article-title":"Detection of sleep apnea using wearable AI: systematic review and meta-analysis","volume":"26","author":"Abd-Alrazaq","year":"2024","journal-title":"J Med Internet Res"},{"key":"10.1016\/j.sleep.2026.109075_bib5","doi-asserted-by":"crossref","first-page":"479","DOI":"10.5664\/jcsm.6506","article-title":"Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American academy of sleep medicine clinical practice guideline","volume":"13","author":"Kapur","year":"2017","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib6","doi-asserted-by":"crossref","first-page":"7586","DOI":"10.3390\/jcm14217586","article-title":"Advancing obstructive sleep apnea management: recent trends from conventional to innovative therapies","volume":"14","author":"Park","year":"2025","journal-title":"J Clin Med"},{"key":"10.1016\/j.sleep.2026.109075_bib7","first-page":"1","article-title":"Continuous positive airway pressure devices for the treatment of obstructive sleep apnoea-hypopnoea syndrome: a systematic 405 review and economic analysis","volume":"13","year":"2009","journal-title":"Health Technol Assess"},{"key":"10.1016\/j.sleep.2026.109075_bib8","doi-asserted-by":"crossref","first-page":"895","DOI":"10.5664\/jcsm.11030","article-title":"Long-term effects on clinical event, mental health, and related outcomes of CPAP for obstructive sleep apnea: a systematic review","volume":"20","author":"Balk","year":"2024","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib9","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.sleep.2021.02.019","article-title":"Apnea-hypopnea index supplied by CPAP devices: time for standardization?","volume":"81","author":"Midelet","year":"2021","journal-title":"Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.rmed.2021.106303","article-title":"Reliability of automatic detection of AHI during positive airway pressure treatment in obstructive sleep apnea patients: a \u201creal-life study.\u201d","volume":"177","author":"Fanfulla","year":"2021","journal-title":"Respir Med"},{"key":"10.1016\/j.sleep.2026.109075_bib11","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1007\/s11325-022-02740-w","article-title":"Reliability of respiratory event detection with continuous positive airway pressure in moderate to severe obstructive sleep apnea - comparison of polysomnography with a device-based analysis","volume":"27","author":"Richter","year":"2023","journal-title":"Sleep Breath"},{"key":"10.1016\/j.sleep.2026.109075_bib12","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.5664\/jcsm.9814","article-title":"A longitudinal study of the accuracy of positive airway pressure therapy machine-detected apnea-hypopnea events","volume":"18","author":"Ni","year":"2022","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib13","doi-asserted-by":"crossref","first-page":"1961","DOI":"10.5665\/sleep.6224","article-title":"Effective apnea-hypopnea index (\u201cEffective AHI\u201d): a new measure of effectiveness for positive airway pressure therapy","volume":"39","author":"Boyd","year":"2016","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2026.109075_bib14","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1007\/s11325-023-02955-5","article-title":"Adherence to continuous positive airway pressure therapy in patients with spinal cord injury and obstructive sleep apnea: trajectories and predictors","volume":"28","author":"Di Maria","year":"2024","journal-title":"Sleep Breath"},{"key":"10.1016\/j.sleep.2026.109075_bib15","doi-asserted-by":"crossref","first-page":"340","DOI":"10.28982\/josam.897532","article-title":"Factors affecting CPAP compliance in patients with obstructive sleep apnea","volume":"5","author":"\u015eahi\u0307n","year":"2021","journal-title":"J Surg Med"},{"key":"10.1016\/j.sleep.2026.109075_bib16","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.5664\/jcsm.8406","article-title":"Use of the WatchPAT to detect occult residual sleep-disordered breathing in patients on CPAP for obstructive sleep apnea","volume":"16","author":"Epstein","year":"2020","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib17","doi-asserted-by":"crossref","DOI":"10.1093\/sleep\/zsae317","article-title":"Validation of a fingertip home sleep apnea testing system using deep learning AI and a temporal event localization analysis","volume":"48","author":"Chen","year":"2025","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2026.109075_bib18","doi-asserted-by":"crossref","first-page":"157","DOI":"10.5664\/jcsm.27133","article-title":"Clinical guidelines for the manual titration of positive airway pressure in patients with obstructive sleep apnea","volume":"4","author":"Kushida","year":"2008","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib19","series-title":"The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications, version 3.0","year":"2023"},{"key":"10.1016\/j.sleep.2026.109075_bib20","first-page":"1077","article-title":"The Sleep Heart Health Study: design, rationale, and methods","volume":"20","author":"Quan","year":"1997","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2026.109075_bib21","doi-asserted-by":"crossref","first-page":"587","DOI":"10.5665\/sleep.4576","article-title":"A systematic assessment of the association of polysomnographic indices with blood pressure: the Multi-Ethnic Study of Atherosclerosis (MESA)","volume":"38","author":"Dean","year":"2015","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2026.109075_bib22","article-title":"Perfusion index: physical principles, physiological meanings and clinical implications in anaesthesia and critical care","volume":"40","author":"Coutrot","year":"2021","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.sleep.2026.109075_bib23","article-title":"Model-based assessment of photoplethysmogram signal quality in real-life environments","author":"Su","year":"2024","journal-title":"medRxiv"},{"key":"10.1016\/j.sleep.2026.109075_bib24","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1037\/0033-2909.86.2.420","article-title":"Intraclass correlations: uses in assessing rater reliability","volume":"86","author":"Shrout","year":"1979","journal-title":"Psychol Bull"},{"key":"10.1016\/j.sleep.2026.109075_bib25","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1177\/001316446002000104","article-title":"A coefficient of agreement for nominal scales","volume":"20","author":"Cohen","year":"1960","journal-title":"Educ Psychol Meas"},{"key":"10.1016\/j.sleep.2026.109075_bib26","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1111\/j.1553-2712.1996.tb03538.x","article-title":"Statistical methodology: I. Incorporating the prevalence of disease into the sample size calculation for sensitivity and specificity","volume":"3","author":"Buderer","year":"1996","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.sleep.2026.109075_bib27","doi-asserted-by":"crossref","first-page":"157","DOI":"10.5664\/jcsm.27133","article-title":"Clinical guidelines for the manual titration of positive airway pressure in patients with obstructive sleep apnea","volume":"4","year":"2008","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib28","doi-asserted-by":"crossref","DOI":"10.1093\/sleep\/zsac028","article-title":"A multicentric validation study of a novel home sleep apnea test based on peripheral arterial tonometry","volume":"45","author":"Van Pee","year":"2022","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2026.109075_bib29","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.5664\/jcsm.8620","article-title":"Performance of peripheral arterial tonometry-based testing for the diagnosis of obstructive sleep apnea in a large sleep clinic cohort","volume":"16","author":"Ioachimescu","year":"2020","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.sleep.2026.109075_bib30","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.sleh.2023.05.001","article-title":"Belun Ring (Belun Sleep System BLS-100): deep learning-facilitated wearable enables obstructive sleep apnea detection, apnea severity categorization, and sleep stage classification in patients suspected of obstructive sleep apnea","volume":"9","author":"Strumpf","year":"2023","journal-title":"Sleep Health"}],"container-title":["Sleep Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S138994572600314X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S138994572600314X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:46:19Z","timestamp":1785890779000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S138994572600314X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":30,"alternative-id":["S138994572600314X"],"URL":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109075","relation":{},"ISSN":["1389-9457"],"issn-type":[{"value":"1389-9457","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"External validation of a fingertip wearable device for obstructive sleep apnea diagnosis and split-night tracking of CPAP treatment response","name":"articletitle","label":"Article Title"},{"value":"Sleep Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109075","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109075"}}