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Moving Towards Universal Prenatal Detection of Critical Congenital Heart Disease in Southern Nevada: A Community-Wide Program

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Abstract

This study compares the current, prenatal detection rate for critical congenital heart disease in Southern Nevada with the previously reported rate, after developing and expanding a comprehensive, community-wide fetal cardiology program. For the current-period analysis, we inquired our database and electronic health records for patients born in Clark County, Nevada, with critical congenital heart disease between May 2012 and April 2014, and we compared the results with the previous period between May 2003 and April 2006. The major components of the community-wide program include fetal congenital heart disease screening via general obstetric ultrasound studies performed in obstetrician’s offices, radiology imaging centers, or maternal–fetal medicine specialty practices; subsequent referral for comprehensive fetal echocardiography performed in maternal–fetal medicine offices under the on-site supervision by fetal cardiologists; and recurring community educational programs teaching the 5-axial plane, fetal echocardiographic screening protocol to general obstetric sonographers and instructing perinatal sonographers in advanced imaging topics. For the current period, the prenatal detection rate for critical congenital heart disease in Southern Nevada was 71 versus 36 % for the previous period (p < 0.001). The temporal improvement in prenatal detection of critical congenital heart disease may be related to our expanded decentralized, community-wide fetal cardiology program, and our experiences may be applicable to other metropolitan areas.

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Acknowledgments

The authors thank the outstanding support from the perinatologists and sonographers from Alan Sacks Perinatology, Desert Perinatal Associates, High Risk Pregnancy Centers, and Nevada Perinatal Offices.

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Authors and Affiliations

  1. Children’s Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA

    William Evans, William Castillo, Robert Rollins, Carlos Luna, Katrinka Kip, Joseph Ludwick, Nitin Madan, Michael Ciccolo, Alvaro Galindo, Abraham Rothman, Gary Mayman, Kathleen Cass, Vincent Thomas, Humberto Restrepo & Ruben Acherman

  2. Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA

    William Evans, William Castillo, Robert Rollins, Carlos Luna, Katrinka Kip, Joseph Ludwick, Nitin Madan, Alvaro Galindo, Abraham Rothman, Gary Mayman, Kathleen Cass, Vincent Thomas, Humberto Restrepo & Ruben Acherman

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  1. William Evans
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  2. William Castillo
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  3. Robert Rollins
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  4. Carlos Luna
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  6. Joseph Ludwick
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  7. Nitin Madan
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  8. Michael Ciccolo
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  9. Alvaro Galindo
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  10. Abraham Rothman
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  11. Gary Mayman
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  13. Vincent Thomas
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  15. Ruben Acherman
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Correspondence to William Evans.

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Evans, W., Castillo, W., Rollins, R. et al. Moving Towards Universal Prenatal Detection of Critical Congenital Heart Disease in Southern Nevada: A Community-Wide Program. Pediatr Cardiol 36, 281–288 (2015). https://doi.org/10.1007/s00246-014-0996-1

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  • DOI: https://doi.org/10.1007/s00246-014-0996-1

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