RIHAPRhode Island Hearing Assessment Program
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The current health care system relies on the use of a high-risk registry to identify infants with hearing loss (Table).[1] This system, however, fails to identify approximately 50% of the infants with hearing loss.[4] The RIHAP Study[9] demonstrated that TEOAE can be used to perform universal hearing screening in a medical center environment.
In the RIHAP study,[9] 26.9% failed the initial TEOAE screening, and 6.2% of the total group failed rescreening and required diagnostic evaluation.
Data published by the RIHAP demonstrate that screening can be performed for less than $25 per child.[13] In that study, the cost of identifying a child with a sensorineural hearing loss was $3364, which compares favorably with the $41,000 expended to identify a child with phenylkctonuria or hypothyroidism.[13] Our study also does not compare screening using TEOAE with screening using automated auditory brain stem response.