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 |
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.
Observations are from all 50 states and the District of Columbia.
Defined as deaths that occurred 24 hours to less than 6 months after birth.
Alabama had a nonmandatory policy but enacted a mandatory policy that was not implemented by June 1, 2013.