The universal newborn hearing screening program at the University Hospital of Ferrara: Focus on costs and software solutions

Ciorba, Andrea; Hatzopoulos, Stavros; Busi, Micol; Guerrini, Piero; Petruccelli, Joseph D.

doi:10.1016/j.ijporl.2008.02.011

Cited by 25 publications

(28 citation statements)

References 37 publications

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“…In a previous study by Holtby et al on hearing screening [17], the tympanometric data from 610 English school children showed a sensitivity of 74.4%, but a PPV of 37.6%. The discrepancy between the data from the present and the Holtby study is probably procedural, since in the latter the tympanometric measurements were taken twice, following the typical 3-stage neonatal screening paradigm [1]. In a program where a procedure is applied more than once, or more procedures are grouped together the resulted sensitivity and PPV indices increase.…”

Section: Discussioncontrasting

confidence: 62%

A comparison of audiometric and objective methods in hearing screening of school children. A preliminary study

Śliwa

Hatzopoulos

Kochanek

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussioncontrasting

confidence: 62%

A comparison of audiometric and objective methods in hearing screening of school children. A preliminary study

Śliwa

Hatzopoulos

Kochanek

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…The previous papers presented different fail rates in the first a-TEOAE-test before discharge. It was reported to be 1.74 % [33] and 22 % [34] in San Poulo-Brazil, 2.43 % in Milan [35] and 12 % in Ferrara [36] of Italy, and 4.1 % in India [37]. The studies from the Turkish hospitals also published different fail rates for the initial test by a-TEOAE, 8 % in HUH [8], 1.7 % in Izmir [27] and 2.8 and 5.2 % in ZHD [25,26].…”

Section: Discussionmentioning

confidence: 95%

Newborn hearing screening outcomes during the first decade of the program in a reference hospital from Turkey

Kemaloğlu

Gökdoğan

Gündüz

et al. 2015

Eur Arch Otorhinolaryngol

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In this study, the authors report the results of a three-stage newborn hearing screening (NHS) program for well babies at the Gazi University Hospital (GUH) in Ankara between 2003 and 2013. GUH-NHS was performed by automated transient evoked otoacoustic emission (a-TEOAE) at the first and second steps and by automated brainstem audiometry (a-ABR) at the third step. The data were analysed to assess not only rate of congenital permanent hearing loss (CPHL), but also the effectiveness of the program during the years. A total of 18,470 well babies were tested. The data showed that coverage ratio for the GUH-born babies was increased and more outside-born babies (OBB) were admitted by time (means 84.31 and 11.28 %, respectively). Mean CPHL was found to be 0.26 %. Mean referral rate was decreased to 0.81 % by a-ABR from 2.16 % by a-TEOAE. Mean of missed cases in any stage of GUH-NHS was 4.88 %. It was seen that neither CPHL nor referral rate, but only ratio of missed ones presented increase in parallel to increment in OBB. This paper first presents that clinically acceptable screening procedures developed in GUH by time, and secondly higher rate of CPHL in Turkey than in the Western countries, and benefits of third stage screening by a-ABR because it prevented referral of 251 children (1.29 %) to the clinical tests. We think that this number is reasonably important regarding not only economical point of view, but also waiting lists in the audiology departments in a developing country, in which audiological service is still limited.

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“…Using current technology, the cost of Newborns' Universal Hearing Screening (UNHS) ranges from $10.20 to $23.37 per baby, depending on the selected protocol and technology [30][31][32]. Lin et al [16] reported that the total direct costs of screening (including pre-discharge screening and post-discharge follow-up costs per baby) reached $10.04, $8.60 and $7.33 for TEOAE alone, TEOAE plus a-ABR and a-ABR protocols, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Combined three-staged protocols are related with an initial referral rate of 6.4-8.9% (adequate data from two studies is available [10,20]. The total cost is much lower in a-ABR protocol mainly due to the reduction of false positives [5,16,20,32]. However, it is more time consuming than TEOAE screening.…”

Section: Discussionmentioning

confidence: 99%

Universal newborn hearing screening, a revolutionary diagnosis of deafness: real benefits and limitations

Papacharalampous

Nikolopoulos

Davilis

et al. 2011

Eur Arch Otorhinolaryngol

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The finding that early detection of permanent congenital childhood hearing loss produces worthwhile benefit in terms of improved speech and language provides the rationale for the universal screening of newborns. The aim of the present study is to collect the current evidence with regard to the efficacy, the results and outcomes of universal hearing screening programs. An extensive search of the literature was performed in Medline and other available database sources. Study selection was based on the evaluation of the protocols used and the assessment of their efficacy in the early diagnosis of congenital hearing impairment. The initial referral rate and the rate of false positives were also evaluated. A total of 676,043 screened children have been identified in 20 studies. The average initial referral rate in these studies was 3.89%. The initial referral rate varied from 0.6 to 16.7%. The lost-to-follow-up rates varied from 3.7 to 65%. Although universal hearing screening is now widely adopted, there are still some serious drawbacks and limitations. False positives rates remain considerably high when newborns are screened with TEOAE's. The combination of TEOAE's and a-ABR provides a significantly reduced referral rate. Close cooperation between audiological centres and maternity units and a dedicated secretariat team are of paramount importance with regard to the reliability and efficacy of universal hearing screening.

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The universal newborn hearing screening program at the University Hospital of Ferrara: Focus on costs and software solutions

Cited by 25 publications

References 37 publications

A comparison of audiometric and objective methods in hearing screening of school children. A preliminary study

A comparison of audiometric and objective methods in hearing screening of school children. A preliminary study

Newborn hearing screening outcomes during the first decade of the program in a reference hospital from Turkey

Universal newborn hearing screening, a revolutionary diagnosis of deafness: real benefits and limitations

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