{
  "abstract": "Background\n\nObstructive sleep apnea (OSA) is a prevalent disorder that carries significant health risks. Home sleep apnea testing (HSAT) is a cost-effective alternative to in-lab polysomnography for diagnosing OSA.Objectives\n\nTo evaluate the technical performance and automated-manual scoring agreement of type III HSAT in a Saudi population with a high pretest probability of OSA, and to establish a local performance baseline that can inform future multicenter and cross-regional comparisons.Methods\n\nThis retrospective study included adults with a high pretest probability of moderate-severe OSA who underwent type III HSAT at a tertiary sleep center in Riyadh, Saudi Arabia. Automated HSAT recordings (Nox T3 device) were re-scored manually by a blinded sleep technologist. Key outcomes included technical success and agreement between automated and manual scoring of respiratory indices.Results\n\nA total of 173 participants were included, of which 128 (74.4%) had OSA. HSAT was technically successful in 90.7% of cases. Automated apnea-hypopnea index demonstrated high overall concordance with manual scoring (CCC = 0.919; 95% CI: 0.893-0.940), with minimal mean bias. The apnea index (CCC = 0.993; 95% CI: 0.990-0.995) and oxygen desaturation index (CCC = 0.973; 95% CI: 0.964-0.980) demonstrated excellent concordance, while the hypopnea index showed moderate concordance (CCC = 0.820; 95% CI: 0.764-0.864) with modest automated underestimation. In technically failed cases, nasal airflow showed the poorest signal quality (mean ± SD, 58.4% ± 27.4%) followed by pulse oximetry (86.7% ± 25.1%).Conclusion\n\nAmong adults from Saudi Arabia, type III HSAT had a high technical success rate and strong overall agreement between automated and manual scoring. These findings support the use of HSAT as a reliable diagnostic alternative in appropriately selected adults with a high pretest probability of OSA.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Medicine, College of Medicine, Najran University, Najran, Saudi Arabia.",
    "Sleep Medicine Department, King Saud University Medical City, Riyadh, Saudi Arabia.",
    "Department of Medicine, College of Medicine, University Sleep Disorders Center, King Saud University, Riyadh, Saudi Arabia.",
    "Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.",
    "Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.",
    "The Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the Kingdom of Saudi Arabia, Riyadh, Saudi Arabia."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Sultan Aldhabei"
    },
    {
      "affs": [
        1
      ],
      "name": "Raghad Alhajaji"
    },
    {
      "affs": [
        2
      ],
      "name": "Salih A Aleissi"
    },
    {
      "affs": [
        2
      ],
      "name": "Hamza O Dhafar"
    },
    {
      "affs": [
        2
      ],
      "name": "Samar Z Nashwan"
    },
    {
      "affs": [
        3
      ],
      "name": "Mohammad Alrashed"
    },
    {
      "affs": [
        3
      ],
      "name": "Abdullah Aldhuwaihy"
    },
    {
      "affs": [
        3
      ],
      "name": "Talal Alghadir"
    },
    {
      "affs": [
        4
      ],
      "name": "Mohammed H Alhumud"
    },
    {
      "affs": [
        3
      ],
      "name": "Ahmed T Alhawamdeh"
    },
    {
      "affs": [
        2,
        5
      ],
      "name": "Ahmed S Bahammam"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4hvaq0wyjfbq0.bib",
  "cited_by": 0,
  "doi": "10.4103/sjmms.sjmms_100_26",
  "fulltext_url": "https://europepmc.org/articles/PMC13727058",
  "id": "4hvaq0wyjfbq0",
  "issns": [
    "1658-631X",
    "2321-4856"
  ],
  "landing_url": "https://europepmc.org/article/MED/42974588",
  "language": "eng",
  "licence": "CC-BY-NC-SA",
  "licence_label": "CC BY-NC-SA",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "2737|Obstructive Sleep Apnea Research"
    ]
  ],
  "openalex": "W7222402247",
  "pdf_url": "https://europepmc.org/articles/PMC13727058?pdf=render",
  "pmcid": "PMC13727058",
  "pmid": "42974588",
  "published": "2026-10-14",
  "publisher": "Wolters Kluwer -- Medknow Publications",
  "ris": "https://research.draconitic.com/paper/4hvaq0wyjfbq0.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T15:20:49Z",
      "native_id": "MED:42974588",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42974588"
    },
    {
      "first_seen": "2026-11-05T12:23:15Z",
      "native_id": "PMC13727058",
      "source": "pmc",
      "url": "https://doi.org/10.4103/sjmms.sjmms_100_26"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2737|Obstructive Sleep Apnea Research",
      "subfield": "physiology"
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  ],
  "title": "Technical Performance and Automated-manual Scoring Agreement in Type III Home Sleep Apnea Testing: A Single-center Study from Saudi Arabia.",
  "title_text": "Technical Performance and Automated-manual Scoring Agreement in Type III Home Sleep Apnea Testing: A Single-center Study from Saudi Arabia.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:51Z",
  "url": "https://research.draconitic.com/paper/4hvaq0wyjfbq0",
  "venue": "Saudi journal of medicine & medical sciences",
  "versions": []
}