Received: 7 May 2014 / Accepted: 23 July 2014
©Springer Science+Business Media New York 2014
Moving Towards Universal Prenatal Detection of Critical Congenital Heart Disease in Southern Nevada: A Community-Wide Program
William Evans, MD, William Castillo, MD, Robert Rollins, MD, Carlos Luna, MD, Katrinka Kip, MD, Joseph Ludwick, MD, Nitin Madan, MD, Michael Ciccolo, MD, Alvaro Galindo, MD, Abraham Rothman, MD, Gary Mayman, MD, Kathleen Cass, MD, Vincent Thomas, MD, Humberto Restrepo, MD, MPH, Ruben Acherman, MD
ChildrenŐs Heart Center Nevada, 3006 S Maryland Pkwy, Ste 690, Las Vegas, Nevada 89109, USA. Email: firstname.lastname@example.org.
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, communitywide 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 obstetricianŐs 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 71versus 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.