Benefits and costs of universal hearing screening programme

Summary Hearing loss affects 1–3 out of 1000 newborns. A programme of universal newborn hearing screening (UNHS) was implemented in our ENT department in February 2000. In 2001, the programme was extended to all the hospitals of the canton Geneva. The programme is based on the recording of transient...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2007-10, Vol.71 (10), p.1591-1595
Main Authors: Cao-Nguyen, Minh-Huong, Kos, Maria-Izabel, Guyot, Jean-Philippe
Format: Article
Language:English
Subjects:
Acoustic Stimulation - methods
Audiology
Automated auditory brainstem responses
Cochlea - physiopathology
Costs and Cost Analysis
Evoked Potentials, Auditory, Brain Stem - physiology
Hearing Disorders - economics
Hearing Disorders - epidemiology
Hearing Disorders - physiopathology
Humans
Infant, Newborn
Mass Screening - methods
Neonatal Screening - methods
Otolaryngology
Pediatrics
Program Development - economics
Switzerland - epidemiology
Transient otoacoustic emissions
Universal hearing screening
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Summary:Summary Hearing loss affects 1–3 out of 1000 newborns. A programme of universal newborn hearing screening (UNHS) was implemented in our ENT department in February 2000. In 2001, the programme was extended to all the hospitals of the canton Geneva. The programme is based on the recording of transient evoked otoacoustic emissions (TEOAE) from all newborns. In addition, automated auditory brainstem responses (aABR) are recorded in high-risk neonates. In the report, we compare the mean age at which rehabilitation of hearing was undertaken during a 5-year period before and after the screening programme was instituted. We also identify some causes of delayed diagnosis and intervention and the pitfalls of universal hearing screening. The price of the UNHS programme is estimated at 26 Swiss francs (17 Euros; 21 US dollars) per infant screened, including the material required, the personal involved to run the programme, and the follow-up.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2007.07.008