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. Author manuscript; available in PMC: 2018 Dec 5.
Published in final edited form as: JAMA. 2017 Dec 5;318(21):2111–2118. doi: 10.1001/jama.2017.17627

Table 3.

Characteristics of State-Month Periods With Critical Congenital Heart Disease Screening Policies or No Policies During the Period January 1, 2007, to June 1, 2013a

Characteristics All Statesb States With
No Policy
Implemented
States With Mandatory Policy States With Nonmandatory Policy


Before
Enactment
Between
Enactment and
Implementation
After
Implementation
Before
Enactment
After
Enactment
Births per mo, mean (95% CI) 6661.0 (6417.3–6904.6) 6610.9 (6323.9–6898.0) 4275.2 (4007.8–4542.6) 5431.8 (4810.4–6053.2) 5448.0 (4825.3–6070.8) 7946.3 (7271.9–8620.6) 9927.6 (6900.0–12 955.2)

Critical congenital heart disease deaths per 100 000 births (95% CI)c 9.8 (9.2–10.4) 10.0 (9.1–10.9) 8.3 (6.4–10.3) 7.8 (3.9–11.8) 4.5 (2.3–6.6) 10.6 (9.5–11.8) 10.0 (6.1–13.9)

Other or unspecified congenital cardiac deaths per 100 000 births (95% CI)c 13.5 (12.7–14.2) 13.4 (12.4–14.4) 12.0 (10.0–14.0) 11.5 (5.5–17.5) 8.5 (5.3–11.6) 14.8 (13.3–16.3) 13.8 (9.8–17.8)

Observations (state-months) 3978 2340 487 53 84 942 72

No. of states 51 30 8 7 8 13d 13d
a

The mean monthly death rates for critical congenital heart disease and other/unspecified congenital heart disease were calculated by dividing total numbers of deaths of each type by total number of births and total number of state-months. These are not necessarily identical to the ratio of the mean number of monthly deaths and the mean number of monthly births. State-month periods with either voluntary screening policies enacted or mandatory screening policies that had been enacted but not yet implemented are included in the columns of nonmandatory policy states.

b

Observations are from all 50 states and the District of Columbia.

c

Defined as deaths that occurred 24 hours to less than 6 months after birth.

d

Alabama had a nonmandatory policy but enacted a mandatory policy that was not implemented by June 1, 2013.