Cost Effectiveness of Newborn Hearing Screening Protocol in Reduction of Refer Newborn Hearing Loss for Diagnosis

Authors

  • Somjin Chindavijak, M.D. Rajavithi Hospital
  • Napas Tanamai, M.D. Rajavithi Hospital
  • Aroonwan Khongsaksri, B.N.S. Rajavithi Hospital
  • Saranya Withyapraphaiphan, M.N.S. Rajavithi Hospital
  • Atcharaphorn Khitchaidiao, M.N.S. Rajavithi Hospital
  • Ruthai Susonthitaphong, (Dip in nursing science) Rajavithi Hospital
  • Suwanna Chao-amonpat, B.N.S. Rajavithi Hospital
  • Supranee Boonmee, M.Ed. Rajavithi Hospital
  • Chalida Khemvaranan, M.Sc. Lerdsin Hospital
  • Arunee Thaiyakul, M.P.H. Institute of Medical Research and Technology Assessment, Ministry of Public Health

Keywords:

Cost effectiveness, Otoacoustic Emission(OAE), Automated Auditory Brainstem Response (AABR), Refer rate

Abstract

Background: The high efficiency newborn hearing screening program that decrease the abnormal hearing screening result newborns will reduce the problem of referral system for diagnosis because lack of audiologist in each health region. Objective: To study cost - effectiveness between newborn hearing screening with Automated Auditory Brainstem Response (AABR) when Otoacoustic Emission (OAE) unpass (AABR + OAE when OAE unpass) to reduce refer rate for diagnostic test to OAE alone program. Method: Data from newborn hearing screening in Rajavithi Hospital during Oct 1st 2019 to Sep 30th 2020 were used to assess the cost - effectiveness of AABR when OAE unpass. The data of OAE alone in Rajavithi Hospital was previously reported in 2011. The model based cost-effectiveness analysis were conducted and limited at the time to diagnostic test with horizontal time frame 1 year without reduction rate. All the cost for screening include all societal perspective which were indirect and direct cost whether by hospital and family. The outcome measure of the economic analysis was the cost per case of decrease refer newborn for diagnosis. In order to reflect uncertainty, deterministic and probabilistic sensitivity analyses were performed. Result: The direct cost of AABR + OAE when OAE unpass was 1016.61 Baht and OAE was 188.71 Baht. The result of total cost which included direct and indirect cost in the protocol of AABR + OAE when OAE unpass was 3,186,461.00 Baht compare to OAE protocol which was 3,314,425.61 Baht per 10,000 newborns hearing screening and the number of refer newborn of AABR + OAE when OAE unpass was 12 compare to 54 newborns for conventional protocol by saving for the cost of 3,044.33 Baht. Conclusions: The protocol of AABR + OAE when OAE unpass decrease refer newborn for diagnosis which decrease of total cost of hearing from screening to diagnosis. And in the area that audiologist was not available, this protocol will be benefit in the term of reduction of refer rate and waiting list for diagnosis.

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References

World Health Organization. Newborn and infant Hearing Screening: current issue and guiding principle for action. WHO Press: Geneva; 2010.

Liu C, Farrell J, MacNeil JR, Stone S, Barfield W. Evaluating loss to follow up in newborn hearing screening in Massachusetts. Pediatrics 2008; 121: e335-43.

Yimtae K, Potaporn M, Kaewsiri S. Hearing screening tools. Guideline for screening Infant hearing in Thailand 2019; 1: 39-40.

Alanazi AA. Referral and lost of system rates of two newborn hearing screening programs in Saudi Arabia. Int J Neonatal Screening 2020;

Tungvachirakul V, Boonmee S, Nualmoosik T, Kamjohnjiraphun J, Siripala W, Sanghiraun W, et al. Newborn hearing screening at Rajavithi Hospital, Thailand hearing loss in infants not admitting in intensive care unit. J Med Assoc Thai 2011; 94: S108-12.

Yimtae K, Potaporn M, Kaewsiri S. Thai Speech-Language and Hearing Association. Guideline for hearing screening among newborn in Thailand 2019; 27.

American Speech-Language-Hearing Association. Expert Panel Recommendation on Newborn Hearing Screening.[Internet]. 2013[cited 2019 Oct 20]. Available from: http://www.asha. org.

American Speech-Language-Hearing Association. Executive Summary for JCIH Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. [Internet] 2007. [cited 2019 Oct 20]. Available from http:// www.asha.org.

Berg AL, Spitzer JB, Towers HM, Bartosiewicz C, Diamond BE. Newborn hearing screening in the NICU: profile of failed auditory brainstem response/passed otoacoustic emission. Pediatrics 2005; 116: 933-8.

Shang Y, Hao W, Gao Z, Xu C, Ru Y, Ni D. An effective compromise between cost and referral rate: A sequential hearing screening protocol using TEOAEs and AABRs for healthy newborns. Int J Pediatr Otorhinolaryngol 2016; 91: 141-5.

Akinpelu OV, Peleva E, Funnell WR, Daniel SJ. Otoacoustic emissions in newborn hearing screening: a systematic review of the effects of different protocols on test outcomes. Int J Pediatr Otorhinolaryngol 2014; 78: 711-7.

Saeed H, Alirezea OM, Fatemeh R, The sensitivity and specificity of automated auditory brainstem response and otoacoustic emission in neonatal hearing screening: a systematic review. Auditory and Vestibular Research 2015; 24: 141-51.

Vignesh SS, Jaya V, Sasireka BI, Sarathy K, Vanthana M.

Prevalence and referral rates in neonatal hearing screening program using two step hearing screening protocol in Chennai - A prospective study. Int J Pediatr Otorhinolaryngol 2015; 79: 1745-7.

Ravi R, Gunjawate DR, Yerraguntla K, Lewis LE, Driscoll C, Rajashekharm B . Follow-up in newborn hearing screeningA systematic review. International Journal of Pediatric Otorhinolaryngology 2016; 90: 29-36.

Chouyboonchum T, Tiravanitchakul R, Mongkalanatakul N, Premkraisorn V. Newborn Hearing Screening in Ramathibodi Hospital. Rama Med 2015;38: 197-208.

Roth DA, Hildesheimer M, Bardenstein S, Goidel D, Reichman B, Maayan-Metzger A, et al. Preauricular skin tags and ear pits are associated with permanent hearing impairment in newborns. Pediatrics 2008; 122:e884-90.

Apostolopoulos NK, Psarommatis IM, Tsakanikos MD, Dellagrammatikas HD, Douniadakin DE.Otoacoustic emission based hearing screening of Greek NICU population. Int Audiol 1990; 45: 528-36.

Jacobson JT, Jacobson CA, Spahr RC. Automated and conventional ABR screening techniques in high-risk infants. J Am Acad Audiol 1990; 1: 187-95.

Stewart DL, Mehl A, Hall JW 3 rd, Thomson V, Carroll M, Hamlett J. Universal newborn hearing screening with automated auditory brainstem response: a multisite investigation. J Perinatol 2000; 20(8 Pt 2): S128-31.

Published

28-01-2022

How to Cite

1.
Chindavijak S, Tanamai N, Khongsaksri A, Withyapraphaiphan S, Khitchaidiao A, Susonthitaphong R, Chao-amonpat S, Boonmee S, Khemvaranan C, Thaiyakul A. Cost Effectiveness of Newborn Hearing Screening Protocol in Reduction of Refer Newborn Hearing Loss for Diagnosis. j dept med ser [Internet]. 2022 Jan. 28 [cited 2022 Sep. 27];46(4):120-9. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/255929

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