STATISTICAL REPORT 2011

IN-PATIENTS
IN 2011

. 

Number of in-patients in each department classified monthly

Departmant Month
Total

January February March April May June July August September October November December

Anesthesiology 0000000100001

Gynecology 427 347 433 386 398 405 424 418 441 357 126 357 4,519

Medicine 1,266 1,225 1,362 1,288 1,278 1,415 1,350 1,478 1,460 1,322 545 1,291 15,280

Obstetrics 1,556 1,295 1,417 1,590 1,629 1,652 1,817 1,837 1,863 1,805 872 1,435 18,768

Ophthalmology 440 468 551 514 430 526 456 513 569 355 40 360 5,222

Orthopaedic surgery 408 380 478 427 419 422 454 402 442 369 68 354 4,623

- 39 - Oto-Rhino-Laryngology 241 254 298 260 246 290 278 273 268 183 37 235 2,863

Pediatrics 674 638 686 672 672 692 760 764 717 689 251 610 7,825

Psychiatry 31 39 33 36 36 37 36 28 31 35 14 25 381

Radiology 114 108 132 103 101 99 120 109 119 76 13 88 1,182

Rehabilitation medicine 16 16 20 17 17 16 21 18 23 17 22 22 225

Research and development 5 55 38 2 4 10 11 9 10 4 2 0 150

Surgery 1,405 1,307 1,517 1,305 1,342 1,425 1,444 1,546 1,529 1,283 401 1,302 15,806

Total 6,583 6,132 6,965 6,600 6,572 6,989 7,171 7,396 7,472 6,495 2,391 6,079 76,845

Note : Due to the flood crisis, Siriraj Hospital announced an official closure during October to November 2011.
Data source : Siriraj information technology department
Date : 12 March 2012

Percentage of in-patients in each department

Research and development Surgery Anesthesiology
(0.20%) 20.57% (0.00%) Gynecology
(5.88%)
Rehabilitation medicine
- 40 - (0.29%) Medicine
Radiology (19.88%)
(1.54%)
Psychiatry Obstetrics
(0.50%) (24.42%)

Pediatrics
10.18%

Oto-Rhino-Laryngology Ophthalmology
(3.73%) (6.80%)
Orthopaedic surgery
(6.02%)

Number of in-patients classified by payment methods

Payment methods Number
General patient 29,515
Universal coverage 27,383
Comptroller 14,294
Social security 3,714
Right to direct disbursement officers Bangkok 1,447
Staff and Mahidol student welfare
Monks 314
Other payers : State owned enterprise, etc 31
147
Total 76,845

Data source : Siriraj information technology department
Date : 12 March 2012

Percentage of in-patients classified by payment methods

Comptroller Right to direct Staff and Mahidol
(18.60%) disbursement officers student welfare (0.41%)

Bangkok (1.88%) Monks (0.04%)
Other payers (0.19%)
Social security
(4.83%)

General patient
(38.41%)

Universal coverage
(35.63%)

- 41 -

Number of in-patients classified by age and gender

Age Gender Total

under 7 day Male Female 8,155
7-27 day 4,134 4,021 1,170
28 day - under 1 year 505 1,553
1-14 year 665 598 7,321
15-24 year 955 3,268 5,952
25-44 year 4,053 4,445 17,170
45-64 year 1,507 13,492 18,529
65 year and over 3,678 9,948 16,995
8,581 8,980 76,845
Total 8,015 45,257
31,588

Data source : Siriraj information technology department
Date : 12 March 2012

Percentage of in-patients classified by age

45-64 year
(24.11%)

25-44 year 65 year and over
(22.34%) (22.12%)

15-24 year 1-14 year 7-27 day under 7 day
(7.75%) (9.53%) 28 day-under 1 year (1.52%) (10.61%)

(2.02%)

- 42 -

Number of in-patients in each department classified by length of stay

- 43 - Department under 7 7-14 Length of stay (days) over 30 Total
1 0 15-21 22 - 30 0 1
Anesthesiology 28
Gynecology 3,965 454 00 4,519
Medicine 10,350 2,626 50 22 854 15,280
Obstetrics 17,087 1,559 864 586 34 18,768
Ophthalmology 4,790 61 27 47 5,222
Orthopaedic surgery 2,818 286 50 49 190 4,623
Oto-Rhino-Laryngology 2,372 1,223 253 139 41 2,863
Pediatrics 5,575 109 34 360 7,825
Psychiatry 307 320 197 37
Radiology 138 1,373 57 42 60 381
Rehabilitation medicine 840 94 57 112 1,182
Research and development 107 34 48 0
Surgery 7 131 00 552 225
150 24 785 443 2,315 150
Total 9,984 2,677 1,644 15,806
58,077 0 76,845
4,042
12,132

Data source : Siriraj information technology department
Date : 12 March 2012

Percentage of in-patients classified by length of stay

7-14 day 15-21 day 22 - 30 day
(15.79%) (3.48%) (2.14%) over 30 day

(3.01%)

- 44 -

under 7 day
(75.58%)

Occupancy rate classified monthly

Month Occupancy rate

January 67.54
February 66.83
March 71.52
April 67.26
May 68.53
June 71.06
July 70.01
August 74.96
September 71.52
October 64.16
November 25.47
December 59.72

Average 64.88

Note : Due to the flood crisis, Siriraj Hospital announced an official closure during October to November 2011.
Data source : Nursing department
Date : 5 April 2012

Percentage Occupancy rate classified monthly 64.16
80.00
71.52 67.26 68.53 71.06 70.01 74.96 71.52
67.54 66.83
65.00 59.72

50.00

35.00
25.47

20.00
Month

- 45 -

Number of in-patients in each department classified by discharge types

Department With approval Against advice Escape Discharge types Death with autopsy Death without autopsy Total
0 Transfer Others 00
Anesthesiology 10 0 1 46 1
Gynecology 3 00 35 1,243 4,519
Medicine 4,464 2 3 60 39 15,280
Obstetrics 3 210 8 00 18,768
Ophthalmology 13,733 48 0 111 0 0 17 5,222
Orthopaedic surgery 0 31 0 14 4,623
Oto-Rhino-Laryngology 18,623 19 1 48 83 17 70 2,863
Pediatrics 0 60 00 7,825
Psychiatry 5,213 2 0 92 1 1 55 381
Radiology 1 80 00 1,182
Rehabilitation medicine 4,467 8 0 17 0 00 225
Research and development 1 10 80 220 150
- 46 - Surgery 2,843 0 12 10 137 1,674 15,806
231 9 76,845
Total 7,609 35 734 102

365 8

1,108 1

222 1

149 0

15,227 38

74,024 162

Data source : Siriraj information technology department
Date : 12 March 2012

ช

Percentage of in-patients classified by discharge types

With approval
(96.33%)

- 47 -

Death without autopsy

(2.18%)

Death with autopsy Against advice
(0.21%)
(0.18%) Transfer
Others (0.96%) Escape
(0.13%) (0.02%)

Number of births and deliveries of in-patients classified monthly

Types January February March April Month
Births 768 629 709 783 Total

May June July August September October November December
811 869 937 951 917 827 448 725 9,374

- Neonate 766 626 708 782 809 866 931 947 913 823 446 722 9,339

- Stillbirth 2 3 1 1 2 3 6 4 4 4 2 3 35

Deliveries 757 625 700 763 797 856 924 937 905 816 442 713 9,235

- 48 - Data source : Obstretics and Gynecology department
Date : 12 March 2012

Number of in-patients classified by regions and gender

Regions Gender Total

Bangkok Male Female 40,635
Central 15,898 24,737 25,421
North 10,425 14,996 2,418
Northeast 1,119 1,299 2,806
East 1,326 1,480 2,358
South 1,205 1,153 2,650
Unknow 1,332 1,318 557
283 274 76,845
Total 31,588 45,257

Data source : Siriraj information technology department
Date : 12 March 2012

- 49 -

Percentage of in-patients classified by regions

North
3.15%

Northeast
3.65%

Central East
33.08% 3.07%

€ Bangkok
52.88%

South
3.45%

- 50 -

Number of in-patients classifiled by nationalities

Nationalities Number Percentage (%)
Thai 74,922 97.50
Chinese 576 0.75
Burmese 313 0.41
Laotian 264 0.34
Cambodian 0.10
Indian 77 0.04
Philippine 32 0.04
British 30 0.04
Vietnamese 28 0.03
American 23 0.03
Japanese 24 0.02
German 17 0.02
Bangladeshi 13 0.01
Sri Lankan 9 0.01
Dutch 8 0.01
Australian 6 0.01
Nepalese 5 0.01
Swedish 5 0.01
Other 4 0.47
Unknow 359 0.17
130 100.00
Total 76,845

Data source : Siriraj information technology department
Date : 12 March 2012

- 51 -

Top ten principal diagnoses of in-patients

ICD-10 Description Number Average
of visits length of stay
C00-C97 Malignant neoplasms
O60-O75 Complications of labour and delivery 13,381 7.75
H25-H28 Disorders of lens 3,390 4.68
O30-O48 Maternal care related to the fetus and amniotic cavity and possible 3,113 1.24
delivery problems 3,053 4.59
P50-P61 Haemorrhagic and haematological disorders of fetus and newborn
I20-I25 Ischaemic heart diseases 2,813 4.54
D10-D36 Benign neoplasms 2,703 4.90
Z30-Z39 Persons encountering health services in circumstances related to 2,487 5.66
reproduction 2,012 3.17
O80-O84 Delivery
M00-M25 Arthropathies 1,710 3.84
1,522 6.31
Others Others
อนื่ ๆ other 40,661

Top ten principal diagnoses of in-patients

Others
(52.91%)

C00-C97 (17.41%)

M00-M25 (1.98%) O60-O75 (4.41%)
O80-O84 (2.23%) H25-H28 (4.05%)
O30-O48 (3.97%)
Z30-Z39 (2.62%)
D10-D36 (3.24%)

I20-I25 (3.52%)

P50-P61 (3.66%)

- 52 -

Top ten external causes of in-patients

ICD-10 Description Number of visits
Y40-Y59
Drugs, medicaments and biological substances causing adverse effects in 3,099
Y83-Y84
therapeutic use
Y60-Y69
W00-W19 Surgical and other medical procedures as the cause of abnormal reaction of the 2,284
Y90-Y98
patient, or of later complication, without mention of misadventure at the time of the
V20-V29
W20-W49 procedure
Y85-Y89
X85-Y09 Misadventures to patients during surgical and medical care 1,273
Y70-Y82
Falls 792

Supplementary factors related to causes of morbidity and mortality classified 709

elsewhere

Motorcycle rider injurred in transport accident 467

Exposure to inanimate mechanical forces 404

Sequelae of external causes of morbidity and mortality 323

Assault 279

Medical devices associated with adverse incidents in diagnostic and therapeutic use 278

others Others Top ten external causes of in-patients 763

Y40-Y59 (29.04%) Y83-Y84 (21.40%)
Y60-Y69 (11.93%)

Others (7.15%) W00-W19 (7.42%)
Y90-Y98 (6.64%)
Y70-Y82 (2.61%) V20-V29 (4.38%)
X85-Y09 (2.61%)
Y85-Y89 (3.03%)

W20-W49 (3.79%)

- 53 -

Top ten operations of in-patients

ICD-9-CM Description Number of
operations
74.1 Low cervical cesarean section
13.71 Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage 4,107
13.41 Phacoemulsification and aspiration of cataract 3,088
66.32 Other bilateral ligation and division of fallopian tubes 2,883
00.66 Percutaneous transluminal coronary angioplasty[PTCA] or coronary atherectomy 2,201
68.49 Other and unspecified total abdominal hysterectomy 1,175
86.22 Excisional debridement of wound, infection, or burn 998
54.21 Laparoscopy 982
81.54 Total knee replacement 713
65.61 Other removal of both ovaries and tubes at same operative episode 704
683

Others 43,633

Top ten operations of in-patients

Others (71.33%)

65.61 (1.12%) 00.66 (1.92%) 74.1 (6.71%)
81.54 (1.15%)
54.21 (1.17%) 13.71 (5.05%)
86.22 (1.61%) 13.41 (4.71%)
66.32 (3.60%)
68.49 (1.63%)

- 54 -

Top ten procedures of in-patients

ICD-9-CM Description Number of
procedures
75.34 Fetal monitoring, not otherwise specified
99.04 Transfusion of packed cells 9,592
99.25 Injection or infusion of cancer chemotherapeutic substance 8,202
89.52 Electrocardiogram 6,424
99.21 Injection of antibiotic 4,039
96.6 Enteral infusion of concentrated nutritional substances 3,286
88.72 Diagnostic ultrasound of heart 3,184
99.07 Transfusion of other serum 2,627
96.04 Insertion of endotracheal tube 2,550
88.56 Coronary arteriography using two catheters 2,485
2,255
Others
97,937
Top ten procedures of in-patients

Others (68.69%)

88.56 (1.58%) 75.34 (6.73%)

96.04 (1.74%) 99.04 (5.75%)
99.07 (1.79%) 99.25 (4.51%)
88.72 (1.84%) 89.52 (2.83%)
96.6 (2.23%)

99.21 (2.30%)

- 55 -

Top ten causes of death of in-patients

ICD-10 Description Number of visit

J18.- Pneumonia, organism unspecified 79
C34.- Malignant neoplasm of bronchus and lung 74
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 67
J69.- Pneumonitis due to solids and liquids 64
A41.- Other septicaemia 60
J15.- Bacterial pneumonia, not elsewhere classified 59
C83.- Diffuse non-hodgkin's lymphoma 49
I21.- Acute myocardial infarction 46
C78.- Secondary malignant neoplasm of respiratory and digestive organs 45
I50.- Heart failure 44

Others 1,224

Top ten causes of death of in-patients

Others (67.59%)

I50.- (2.43%) J18.- (4.36%)
C78.- (2.48%) C34.- (4.09%)
I21.- (2.54%) C22.- (3.70%)
C83.- (2.71%) J69.- (3.53%)
J15.- (3.26%)

A41.- (3.31%)

- 56 -

Top ten principal diagnoses of in-patients
Department of Medicine

ICD-10 Description Number Average
of visits Length of stay
I25.- Chronic ischaemic heart disease 1,800
C83.- Diffuse non-Hodgkin's lymphoma 1.70
C22.- Malignant neoplasm of liver and intranhepatic bile ducts 731 7.74
I63.- Cerebral infarction 668 5.89
C34.- Malignant neoplasm of bronchus and lung 479 15.25
I50.- Heart failure 317 8.66
I21.- Acute myocardial infarction 315 14.40
C11.- Malignant neoplasm of naopharynx 286 11.93
C18.- Malignant neoplasm of colon 281 5.14
I47.- Paroxysmal tachycardia 248 3.96
237 2.18

Top ten external causes of in-patients
Department of Medicine

ICD-10 Description Number
of visits
Y43.- Primarily systemic agents causing adverse effects in therapeutic use
Y95.- Nosocomial condition 675
Y40.- Systemic antibiotics adverse effect 486
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in 301
therapeutic use, not elsewhere classified 196
Y62.- Failure of sterile precautions during surgical and medical care
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 190
Y44.- Agent primarily affecting blood constituents causing adverse effects in therapeutic use 181
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 146
complication, without mention of misadventure at the time of the procedure 118
Y52.- Agents primarily affecting the cardiovascular system causing adverse effects in therapeutic
use 112
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the
patient, or of later complication, without mention of misadventure at the time of the 88
procedure

- 57 -

Top ten operations of in-patients
Department of Medicine

ICD-9-CM Description Number of
operations
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy
37.34 Catheter ablation of lesion or tissues of heart 1,161
39.50 Angioplasty or atherectomy of non-coronary vessel 284
52.19 Other diagnostic procedures on pancreas 169
86.22 Excisional debridement of wound, infection, or burn 116
40.11 Biopsy of lymphatic structure 114
34.21 Transpleural thoracoscopy 90
50.24 Percutaneous ablation of liver lesion or tissue 84
54.93 Creation of cutaneoperitoneal fistula 78
35.52 Repair of atrial septal defect with prosthesis, closed technique 58
54
Top ten procedures of in-patients
Department of Medicine Number of
procedures
ICD-9-CM Description
3,311
99.25 Injection or infusion of cancer chemotherapeutic substance 3,007
99.04 Transfusion of packed cells 2,575
89.52 Electrocardiogram 2,157
88.56 Coronary arteriography using two catheters 1,669
37.22 Left heart cardiac catheterization 1,533
88.77 Diagnostic ultrasound of peripheral vascular system 1,413
88.72 Diagnostic ultrasound of heart 1,270
96.6 Enteral infusion of concentrated nutritional substances 1,163
99.07 Transfusion of other serum 1,087
96.04 Insertion of endotracheal tube

- 58 -

Top ten principal diagnoses of in-patients
Department of Surgery

ICD-10 Description Number Average
of visits Length of stay
K80.- Cholelithiasis
C22.- Malignant neoplasm of liver and intranhepatic bile ducts 699 4.09
C50.- Malignant neoplasm of breast 687 4.58
I25.- Chronic ischaemic heart disease 615 5.97
K40.- Inguinal hernia 449 12.09
K35.- Acute appendicitis 437 2.78
N18.- Chronic renal failure 413 4.36
N40.- Hyperplasia of prostate 412 4.40
C61.- Malignant neoplasm of prostate 361 3.75
C67.- Malignant neoplasm of bladder 360 6.97
280 8.85

Top ten external causes of in-patients
Department of Surgery

ICD-10 Description Number
of visits
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of
the patient, or of later complication, without mention of misadventure at the time of the 1,275
Y44.- procedure
Y60.- Agent primarily affecting blood constituents causing adverse effects in therapeutic use 202
Y95.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 191
X99.- Nosocomial condition 156
W18.- Assault by sharp object 103
Y42.- Other fall on same level 99
Hormones and their synthetic substitutes and antagonists causing adverse effects in 97
Y40.- therapeutic use, not elsewhere classified
V28.- Systemic antibiotics adverse effect 73
Y85.- Motorcycle rider injured in noncollision transport accident 71
Sequelae of transport accidents 62

- 59 -

Top ten operations of in-patients
Department of Surgery

ICD-9-CM Description Number of
operations
86.22 Excisional debridement of wound, infection, or burn
54.21 Laparoscopy 621
51.23 Laparoscopic cholecystectomy 553
40.23 Excision of axillary lymph node 508
90.79 Microscopic examination of specimen from lymph node and of lymph, other microscopic 457
444
examination
36.15 Single internal mammary-coronary artery bypass 432
47.09 Other appendectomy 386
59.8 Ureteral catheterization 271
36.14 Aortocoronary bypass of four or more coronary arteries 269
53.04 Repair of indirect inguinal hernia with graft or prosthesis 246

Top ten procedures of in-patients
Department of Surgery

ICD-9-CM Description Number of
procedures
99.04 Transfusion of packed cells
99.07 Transfusion of other serum 2,090
87.03 Computerized axial tomography of head 966
39.61 Extracorporeal circulation auxiliary to open heart surgery 933
96.04 Insertion of endotracheal tube 881
39.63 Cardioplegia 857
39.62 Hypothermia (systemic) incidental to open heart surgery 851
96.07 Insertion of other (naso-)gastric tube 848
93.39 Other physical therapy 840
96.6 Enteral infusion of concentrated nutritional substances 769
673

- 60 -

Top ten principal diagnoses of in-patients
Department of Obstetrics and Gynecology : Obstetric unit

ICD-10 Description Number Average
of visits Length of stay
O80.- Single spontaneous delivery
O34.- Maternal care for known or suspected abnormality of pelvic organs 1,567 3.70
O99.- Other maternal diseases classifiable elsewhere but complicating 1,239 4.88
1,139 4.06
pregnancy, childbirth and the puerperium
O68.- Labour and delivery complicated by fetal stress [ distress ] 1,040 4.49
O65.- Obstructed labour due to maternal pelvic abnormality 861 4.88
O60.- Preterm labour 693 5.03
O42.- Premature rupture of membranes 542 4.46
O47.- False labour 424 1.27
O03.- Spontaneous abortion 330 1.60
O02.- Other abnormal products of conception 292 1.62

Top five external causes of in-patients
Department of Obstetrics and Gynecology : Obstetric unit

ICD-10 Description Number
of visits
Y45.- Analgesics, antipyretics and anti-inflammatory drugs causing adverse effects in
therapeutic use 6

Y40.- Systemic antibiotics adverse effect 5
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 5

complication, without mention of misadventure at the time of the procedure 3
W18.- Other fall on same level 3
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the
3
patient, or of later complication, without mention of misadventure at the time of the
procedure 3
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in
therapeutic use, not elsewhere classified
Y05.- Sexual assault by bodily force

- 61 -

Top ten operations of in-patients
Department of Obstetrics and Gynecology : Obstetric unit

ICD-9-CM Description Number of
operations
74.1 Low cervical cesarean section
66.32 Other bilateral ligation and division of fallopian tubes 4,101
69.02 Dilation and curettage following delivery or abortion 2,197
75.51 Repair of current obstetric laceration of cervix 633
66.62 Salpingectomy with removal of tubal pregnancy 168
47.19 Other incidental appendectomy 75
54.59 Other lysis of peritoneal adhesions 57
68.29 Other excision or destruction of lesion of uterus 57
54.21 Laparoscopy 37
66.92 Unilateral destruction or occlusion of fallopian tube 35
68.49 Other and unspecified total abdominal hysterectomy 30
30

Top ten procedures of in-patients
Department of Obstetrics and Gynecology : Obstetric unit

ICD-9-CM Description Number of
procedures
75.34 Fetal monitoring, not otherwise specified
99.24 Injection of other hormone 9,579
88.78 Diagnostic ultrasound of gravid uterus 1,469
99.29 Injection or infusion of other therapeutic or prophylactic substance 1,247
99.23 Injection of steroid 889
75.69 Repair of other current obstetric laceration 558
89.06 Consultation, described as limited 368
96.49 Other genitourinary instillation 356
72.71 Vacuum extraction with episiotomy 285
99.04 Transfusion of packed cells 196
99.21 Injection of antibiotic 184
184

- 62 -

Top ten principal diagnoses of in-patients
Department of Obstetrics and Gynecology : Obstetric unit (Newborn)

ICD-10 Description Number Average
of visits Length of stay
P59.- Neonatal jaundice from other and unspecified causes
Z38.- Live infants accrding to place of birth 2,271 4.45
Q38.- Other congenital malformations of tongue, mouth and pharynx 1,730 3.12
P20.- Intrauterine hypoxia 807 3.47
P07.- Disorders related to short gestation and low birth weight, not elsewhere 606 3.64
4.60
classified 590
P05.- Slow fetal growth and fetal malnutrition 295 4.01
P21.- Birth asphyxia 294 4.15
P12.- Birth injury to scalp 200 3.57
P22.- Respiratory distress of newborn 186 4.08
P55.- Haemolytic disease of fetus and newborn 117 5.96

External causes of in-patients
Department of Obstetrics and Gynecology : Obstetric unit (Newborn)

ICD-10 Description Number
of visits
Y76.- Obstetric and gynaecological devices associated with adverse incidents
1

- 63 -

Top ten procedures of in-patients
Department of Obstetrics and Gynecology : Obstetric unit (Newborn)

ICD-9-CM Description Number of
procedures
25.91 Lingual frenotomy
99.83 Other phototherapy 1,870
96.6 Enteral infusion of concentrated nutritional substances 784
89.06 Consultation, described as limited 243
99.16 Injection of antidote 57
87.49 Other chest x-ray 45
99.60 Cardiopulmonary resuscitation, not otherwise specified 44
99.14 Injection of gamma globulin 42
93.96 Other oxygen enrichment 38
89.52 Electrocardiogram 29
27

- 64 -

Top ten principal diagnoses of in-patients
Department of Obstetrics and Gynecology : Gynecology unit

ICD-10 Description Number Average
of visits Length of stay
D25.- Leiomyoma of uterus
C56.- Malignant neoplasm of ovary 808 3.99
N80.- Endometriosis 590 3.99
C54.- Malignant neoplasm of corpus uteri 534 3.36
C53.- Malignant neoplasm of cervix uteri 394 3.88
C79.- Secondary malignant neoplasm of other sites 338 4.82
C78.- Secondary malignant neoplasm of respiratory and digestive organs 228 3.81
N81.- Female genital prolapse 205 3.55
D27.- Benign neoplasm of ovary 178 4.46
N84.- Polyp of female genital tract 160 4.21
103 1.56

Top ten external causes of in-patients
Department of Obstetrics and Gynecology : Gynecology unit

ICD-10 Description Number
of visits
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care
119
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 57
patient, or of later complication, without mention of misadventure at the time of the
55
Y43.- Primarily systemic agents causing adverse effects in therapeutic use 10
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later
6
complication, without mention of misadventure at the time of the procedure 4
Y44.- Agent primarily affecting blood constituents causing adverse effects in therapeutic use 3
Y40.- Systemic antibiotics adverse effect 3
Y70.- Anaesthesiology devices associated with adverse incidents
Y45.- Analgesics, antipyretics and anti-inflammatory drugs causing adverse effects in therapeutic 3
2
use 2
Y48.- Anaesthetics and therapeutic gases causing adverse effects in therapeutic use 2
Y62.- Failure of sterile precautions during surgical and medical care 2
Z85.- Personal history of malignant neoplasm
Y57.- Other and unspecified drugs and medicaments causing adverse effects in therapeutic use

Z86.- Personal history of certain other diseases

- 65 -

Top ten operations of in-patients
Department of Obstetrics and Gynecology : Gynecology unit

ICD-9-CM Description Number of
operations
68.49 Other and unspecified total abdominal hysterectomy
65.61 Other removal of both ovaries and tubes at same operative episode 953
68.41 Laparoscopic total abdominal hysterectomy 670
54.4 Excision or destruction of peritoneal tissue 279
54.59 Other lysis of peritoneal adhesions 262
68.29 Other excision or destruction of lesion of uterus 258
69.09 Other dilation and curettage 209
65.63 Laparoscopic removal of both ovaries and tubes at same operative episode 203
169
47.19 Other incidental appendectomy
54.51 Laparoscopic lysis of peritoneal adhesions 163
161

Top ten procedures of in-patients
Department of Obstetrics and Gynecology : Gynecology unit

ICD-9-CM Description Number of
procedures
99.25 Injection or infusion of cancer chemotherapeutic substance
99.04 Transfusion of packed cells 1,406
54.25 Peritoneal lavage 525
99.21 Injection of antibiotic 187
88.76 Diagnostic ultrasound of abdomen and retroperitoneum 182
89.52 Electrocardiogram 168
91.16 Microscopic examination of peritoneal and retroperitoneal specimen, cell block and 160
150
Papanicolaou smear
87.49 Other chest x-ray 144
89.06 Consultation, described as limited 141
54.91 Percutaneous abdominal drainage 98

- 66 -

Top ten principal diagnoses of in-patients
Department of Pediatrics

ICD-10 Description Number Average
of visits Length of stay
P07.- Disorders related to short gestation and low birth weight, not elsewhere
classified 476 24.57

J18.- Pneumonia, organism unspecified 413 5.96
P59.- Neonatal jaundice from other and unspecified causes 305 4.40
A09.- Diarrhoea and gastroenteritis of presumed infectious origin 285 3.04
Q21.- Congenital malformations of cardiac septa 266 7.82
P22.- Respiratory distress of newborn 218 4.78
Z38.- Live infants accrding to place of birth 213 3.79
C91.- Lymphoid leukaemia 170 13.76
J12.- Viral pneumonia, not elsewhere classified 162 8.01
A08.- Viral and other specified intestinal infections 131 3.10
M32.- Systemic lupus erythematosus 131 5.06

Top ten external causes of in-patients
Department of Pediatrics

ICD-10 Description Number
of visits
Y43.- Primarily systemic agents causing adverse effects in therapeutic use
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 89
76
patient, or of later complication, without mention of misadventure at the time of the procedure
64
Y40.- Systemic antibiotics adverse effect 63
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later
50
complication, without mention of misadventure at the time of the procedure
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in 30
27
therapeutic use, not elsewhere classified 25
X58.- Exposure to other specifeid factors 20
Y62.- Failure of sterile precautions during surgical and medical care 15
Y07.- Other maltreatment syndromes
Y44.- Agent primarily affecting blood constituents causing adverse effects in therapeutic use
Y95.- Nosocomial condition

- 67 -

Top ten operations of in-patients
Department of Pediatrics

ICD-9-CM Description Number of
operations
38.85 Other surgical occlusion of vessels, other thoracic vessels
35.62 Repair of ventricular septal defect with tissue graft 79
39.0 Systemic to pulmonary artery shunt 51
39.50 Angioplasty or atherectomy of non-coronary vessel 43
35.96 Percutaneous valvuloplasty 38
39.79 Other endovascular graft repair of aneurysm. 37
02.34 Ventricular shunt to abdominal cavity and organs 34
35.52 Repair of atrial septal defect with prosthesis, closed technique 33
35.81 Total repair of tetralogy of Fallot 29
95.04 Eye examination under anesthesia 22
21

Top ten procedures of in-patients
Department of Pediatrics

ICD-9-CM Description Number of
procedures
99.21 Injection of antibiotic
87.44 Routine chest x-ray, so described 2,658
99.33 Vaccination against tuberculosis 2,001
99.59 Other vaccination and inoculation 1,584
93.96 Other oxygen enrichment 1,574
93.94 Respiratory medication administered by nebulizer 1,377
99.04 Transfusion of packed cells 1,196
89.52 Electrocardiogram 1,017
90.39 Microscopic examination of specimen from ear, nose, throat, and larynx, other microscopic 934
912
examination
99.83 Other phototherapy 721

- 68 -

Top ten principal diagnoses of in-patients
Department of Oto-Rhino-Laryngology

ICD-10 Description Number Average
of visits Length of stay
J38.- Diseases of vocal cords and larynx, not elsewhere classified
D14.- Benign neoplasm of middle ear and respiratory system 246 2.37
J35.- Chronic diseases of tonsils and adenoids 179 2.62
C32.- Malignant neoplasm of larynx 153 2.11
E04.- Other nontoxic goitre 146 7.28
C73.- Malignant neoplasm of thyroid gland 141 3.40
J32.- Chronic sinusitis 127 6.50
J39.- Other diseases of upper respiratory tract 115 5.71
G47.- Sleep disorders 106 9.28
J34.- Other disorders of nose and nasal sinuses 98 2.66
73 3.42

Top ten external causes of in-patients
Department of Oto-Rhino-Laryngology

ICD-10 Description Number
of visits
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the
patient, or of later complication, without mention of misadventure at the time of the 74
procedure
49
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 40
12
W44.- Foreign body entering into or through eye or natural orifice 12
Y85.- Sequelae of transport accidents 9
Y40.- Systemic antibiotics adverse effect 6
X59.- Exposure to other unspecifeid factor
Y59.- Other and unspecified vaccines and biological substances causing adverse effects in 5
3
therapeutic use
Y87.- Sequelae of intentional self-harm, assault and events of undeterminde intent 3
Y56.- Topical agents primarily affecting skin and mucous membrane and ophthalmological 3

otorhinolaryngological and dental drugs causing adverse effects in therapeutic use
W79.- Inhalation and ingestion of food causing obstruction of respitatory tract
Y86.- Sequelae of other accidents

- 69 -

Top ten operations of in-patients
Department of Oto-Rhino-Laryngology

ICD-9-CM Description Number of
operations
30.09 Other excision or destruction of lesion or tissue of larynx
06.2 Unilateral thyroid lobectomy 195
28.2 Tonsillectomy without adenoidectomy 177
22.63 Ethmoidectomy 159
31.92 Lysis of adhesions of trachea or larynx 130
31.43 Closed [endoscopic] biopsy of larynx 123
06.4 Complete thyroidectomy 99
19.4 Myringoplasty 94
21.61 Turbinectomy by diathermy or cryosurgery 89
40.41 Radical neck dissection, unilateral 81
81
Top ten procedures of in-patients
Department of Oto-Rhino-Laryngology Number of
procedures
ICD-9-CM Description
222
97.23 Replacement of tracheostomy tube 204
31.42 Laryngoscopy and other tracheoscopy 160
99.04 Transfusion of packed cells 158
22.2 Intranasal antrotomy 152
42.23 Other esophagoscopy 144
33.23 Other bronchoscopy 134
29.12 Pharyngeal biopsy 133
96.6 Enteral infusion of concentrated nutritional substances 119
33.22 Fiber-optic bronchoscopy 113
31.0 Injection of larynx

- 70 -

Top ten principal diagnoses of in-patients
Department of Ophthalmology

ICD-10 Description Number Average
of visits Length of stay
H25.- Senile cataract
H33.- Retinal detachments and breaks 2,876 1.20
H40.- Glaucoma 298 3.71
H50.- Other strabismus 253 2.62
H16.- Keratitis 195 1.18
H35.- Other retinal disorders 161 20.20
H26.- Other cataract 150 1.70
H04.- Disorders of lacrimal system 136 1.68
H27.- Other disorders of lens 125 1.63
C69.- Malignant neoplasm of eye and adnexa 97 1.55
87 5.40

Top ten external causes of in-patients
Department of Ophthalmology

ICD-10 Description Number
of visits
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical
239
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of 130
the patient, or of later complication, without mention of misadventure at the time of the
procedure 38
16
W20.- Struck by thrown, projected or falling object 16
W44.- Foreign body entering into or through eye or natural orifice 11
Y65.- Other misadventures during surgical and medical care 9
W27.- Contact with nonpowered hand tool 9
Y40.- Systemic antibiotics adverse effect 8
Y77.- Ophthalmic devices associated with adverse incidents 8
V29.- Motorcycle rider injured in other and unspecified transport accidents
Y57.- Other and unspecified drugs and medicaments causing adverse effects in therapeutic

use

- 71 -

Top ten operations of in-patients
Department of Ophthalmology

ICD-9-CM Description Number of
operations
13.71 Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage
13.41 Phacoemulsification and aspiration of cataract 3,084
14.74 Other mechanical vitrectomy 2,881
14.75 Injection of vitreous substitute 632
14.79 Other operations on vitreous 422
14.54 Repair of retinal detachment with laser photocoagulation 394
14.9 Other operations on retina, choroid, and posterior chamber 310
13.2 Extracapsular extraction of lens by linear extraction technique 309
14.73 Mechanical vitrectomy by anterior approach 204
12.92 Injection into anterior chamber 180
175
Top ten procedures of in-patients
Department of Ophthalmology Number of
procedures
ICD-9-CM Description
234
99.25 Injection or infusion of cancer chemotherapeutic substance 174
39.97 Other perfusion 47
99.23 Injection of steroid 43
87.03 Computerized axial tomography of head 32
97.38 Removal of sutures from head and neck 25
88.91 Magnetic resonance imaging of brain and brain stem 21
88.97 Magnetic resonance imaging of other and unspecified sites 11
99.21 Injection of antibiotic 11
95.13 Ultrasound study of eye 11
21.21 Rhinoscopy

- 72 -

Top ten principal diagnoses of in-patients
Department of Orthopaedic surgery

ICD-10 Description Number Average
of visits Length of stay
M17.- Gonarthrosis [ arthrosis of knee ]
S72.- Fracture of femur 759 6.78
M23.- Internal derangement of knee 291 16.29
M48.- Other spondylopathies 288 3.29
T84.- Complications of internal orthopaedic prosthetic devices, implants and 232 8.80
153 21.51
Z47.- Other orthopaedic follow-up care
S82.- Fracture of lower leg, including ankle 140 2.79
S52.- Fracture of forearm 120 12.01
M43.- Other deforming dorsopathies 114 3.47
G54.- Nerve root and plexus disorders 106 8.76
M51.- Other intervertebral disc disorders 100 3.50
100 19.53

Top ten external causes of in-patients
Department of Orthopaedic surgery

ICD-10 Description Number
of visits
W01.- Fall on same level from slipping, tripping and stumbling
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 316
198
patient, or of later complication, without mention of misadventure at the time of the
procedure 167
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 115
96
Y79.- Orthopaedic devices associated with adverse incidents 74
Y85.- Sequelae of transport accidents 74
V28.- Motorcycle rider injured in noncollision transport accident 53
V23.- Motorcycle rider injured in collision with car, pick-up truck or van
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in 41
37
therapeutic use, not elsewhere classified
X59.- Exposure to other unspecifeid factor
W18.- Other fall on same level

- 73 -

Top ten operations of in-patients
Department of Orthopaedic surgery

ICD-9-CM Description Number of
operations
81.54 Total knee replacement
03.09 Other exploration and decompression of spinal canal 703
80.26 Arthroscopy, knee 415
83.21 Biopsy of soft tissue 337
81.08 Lumbar and lumbosacral fusion, posterior technique 281
83.41 Excision of tendon for graft 247
81.45 Other repair of the cruciate ligaments 235
86.22 Excisional debridement of wound, infection, or burn 231
80.51 Excision of intervertebral disc 199
79.15 Closed reduction of fracture with internal fixation, femur 185
170
Top ten procedures of in-patients
Department of Orthopaedic surgery Number of
procedures
ICD-9-CM Description
970
99.04 Transfusion of packed cells 307
81.62 Fusion or refusion of 2-3 vertebrae 216
93.46 Other skin traction of limbs 201
57.94 Insertion of indwelling urinary catheter 153
00.74 Hip replacement bearing surface, metal on polyethylene 151
92.23 Radioisotopic teleradiotherapy 148
84.52 Insertion of recombinant bone morphogenetic protein 117
93.53 Application of other cast 107
93.54 Application of splint 105
80.36 Biopsy of joint structure, knee

- 74 -

Top ten principal diagnoses of in-patients
Department of Rehabilitation medicine

ICD-10 Description Number Average
of visits Length of stay
G81.- Hemiplegia
G82.- Paraplegia and tetraplegia 70 30.34
I63.- Cerebral infarction 33 35.03
I61.- Intracerebral haemorrhage 19 39.32
M62.- Other disorders of muscle 13 46.08
G95.- Other diseases of spinal cord 10 25.20
M54.- Dorsalgia 9 17.33
M47.- Spondylosis 7 12.00
G83.- Other paralytic syndromes 7 59.71
M51.- Other intervertebral disc disorders 5 27.60
5 20.80

Top ten External causes of in-patients
Department of Rehabilitation medicine

ICD-10 Description Number
of visits
Y85.- Sequelae of transport accidents
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 11
10
complication, without mention of misadventure at the time of the procedure
Y86.- Sequelae of other accidents 7
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 6

patient, or of later complication, without mention of misadventure at the time of the 6
Y45.- Analgesics, antipyretics and anti-inflammatory drugs causing adverse effects in therapeutic
4
use
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in 4
3
therapeutic use, not elsewhere classified 3
Y46.- Antiepileptics and antiparkinsonism drugs causing adverse effects in therapeutic use 3
Y87.- Sequelae of intentional self-harm, assault and events of undeterminde intent 3
Y44.- Agent primarily affecting blood constituents causing adverse effects in therapeutic use 3
W18.- Other fall on same level
Y95.- Nosocomial condition
Y43.- Primarily systemic agents causing adverse effects in therapeutic use

- 75 -

Top five operations of in-patients
Department of Rehabilitation medicine

ICD-9-CM Description Number of
operations
86.22 Excisional debridement of wound, infection, or burn
01.24 Other craniotomy 7
02.34 Ventricular shunt to abdominal cavity and organs 7
39.42 Revision of arteriovenous shunt for renal dialysis 4
57.39 Other diagnostic procedures on bladder 3
80.51 Excision of intervertebral disc 2
81.51 Total hip replacement 2
2
Top ten procedures of in-patients
Department of Rehabilitation medicine Number of
procedures
ICD-9-CM Description
172
93.11 Assisting exercise 168
93.83 Occupational therapy 160
93.13 Resistive exercise 153
94.49 Other counselling 148
93.81 Recreation therapy 141
93.22 Ambulation and gait training 130
93.27 Stretching of muscle or tendon 120
93.34 Diathermy 117
93.12 Other active musculoskeletal exercise 114
93.35 Other heat therapy

- 76 -

Top ten principal diagnoses of in-patients
Department of Radiology

ICD-10 Description Number Average
of visits Length of stay
C77.- Secondary and unspecified malignant neoplasm of lymph nodes
C79.- Secondary malignant neoplasm of other sites 275 3.77
C53.- Malignant neoplasm of cervix uteri 202 15.72
C73.- Malignant neoplasm of thyroid gland 180 4.86
C11.- Malignant neoplasm of naopharynx 112 3.54
C15.- Malignant neoplasm of oesophagus 69 4.41
C34.- Malignant neoplasm of bronchus and lung 33 9.73
C32.- Malignant neoplasm of larynx 32 16.09
C09.- Malignant neoplasm of tonsil 26 8.77
C78.- Secondary malignant neoplasm of respiratory and digestive organs 25 3.84
25 8.60

Top five external causes of in-patients
Department of Radiology

ICD-10 Description Number
of visits
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later
complication, without mention of misadventure at the time of the procedure 93

Y95.- Nosocomial condition 12
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of 11

the patient, or of later complication, without mention of misadventure at the time of the 5
procedure 4
Y43.- Primarily systemic agents causing adverse effects in therapeutic use
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in
therapeutic use, not elsewhere classified

- 77 -

Top five operations of in-patients
Department of Radiology

ICD-9-CM Description Number of
operations
92.27 Implantation or insertion of radioactive elements
59.8 Ureteral catheterization 30
55.03 Percutaneous nephrostomy without fragmentation 7
31.29 Other permanent tracheostomy 6
03.09 Other exploration and decompression of spinal canal 6
33.27 Closed endoscopic biopsy of lung 5
5
Top ten procedures of in-patients
Department of Radiology Number of
procedures
ICD-9-CM Description
417
99.25 Injection or infusion of cancer chemotherapeutic substance 384
92.29 Other radiotherapeutic procedure 383
92.18 Total body scan 368
92.24 Teleradiotherapy using photons 258
92.23 Radioisotopic teleradiotherapy 231
99.04 Transfusion of packed cells 156
87.44 Routine chest x-ray, so described 135
93.96 Other oxygen enrichment 96
96.38 Removal of impacted feces 88
57.94 Insertion of indwelling urinary catheter

- 78 -

Top ten principal diagnoses of in-patients
Department of Psychiatry

ICD-10 Description Number Average
of visits Length of stay
F31.- Bipolar affective disorder
F20.- Schizophrenia 126 12.34
F32.- Depressive episode 91 16.11
F33.- Recurrent depressive disorder 29 14.34
F06.- Other mental disorders due to brain damage and dysfunction and to physical 18 4.72
disease 15 14.67
F10.- Mental and behavioural disorders due to use of alcohol
F43.- Reaction to sever stress, and adjustment disorders 14 12.79
F25.- Schizoaffective disorders 13 7.69
F15.- Mental and behavioural disorders due to use of other stimulants, including 13 21.92
caffeine 6 15.00
F29.- Unspecified nonorganic psychosis
6 12.67

Top five external causes of in-patients
Department of Psychiatry

ICD-10 Description Number
of visits
Y49.- Psyhotropivc drugs, not elsewhere classified
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 63
11
complication, without mention of misadventure at the time of the procedure
X61.- Intentional self-poisoning by and exposure to antiepileptic,sedative-hypnotic, 10

antiparkinsonism and psychotropic drugs, not elsewhere classified 5
W18.- Other fall on same level 5
Y47.- Sedatives, hypnotics and antianxiety drugs causing adverse effects in therapeutic use

- 79 -

Operations of in-patients
Department of Psychiatry

ICD-9-CM Description Number of
operations
34.21 Transpleural thoracoscopy
76.76 Open reduction of mandibular fracture 1
45.91 Small-to-small intestinal anastomosis 1
13.71 Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage 1
13.41 Phacoemulsification and aspiration of cataract 1
14.73 Mechanical vitrectomy by anterior approach 1
1
Top ten procedures of in-patients
Department of Psychiatry Number of
procedures
ICD-9-CM Description
377
94.44 Other group therapy 133
94.27 Other electroshock therapy 36
89.52 Electrocardiogram 24
94.02 Administration of psychologic test 18
94.62 Alcohol detoxification 16
87.03 Computerized axial tomography of head 15
89.14 Electroencephalogram 13
93.57 Application of other wound dressing 6
94.01 Administration of intelligence test 5
93.27 Stretching of muscle or tendon

- 80 -

Principal diagnoses of in-patients
Department of Anesthesiology

ICD-10 Description Number Average
of visits Length of stay
A09.- Diarrhoea and gastroenteritis of presumed infectious origin
1 1.00

Principal diagnosis of in-patients
Department of Research and development

ICD-10 Description Number Average
of visits Length of stay
Z00.- General medical examination of persons without complaint or reported
diagnosis 147 1.82

C22.- Malignant neoplasm of liver and intranhepatic bile ducts 3 1.00

- 81 -

. 

TRENDS
IN 2002 - 2011

. 

Trends in number of new visitor and revisitor of out-patients

New visitor Revisitor

450,000 359,353 370,038 383,906
400,000
350,000 296,790 312,911 343,684
300,000 168,120
250,000 274,927
200,000 2008
- 85 - 150,000 174,096
100,000 144,960
50,000 145,256 149,158 162,663 146,264 156,873 146,911 135,174

0 2002 2003

2004 2005 2006 2007 2009 2010 2011

Year

Trends in number of hospital visits and clinical services of out-patients

Clinical Services Hospital Visits

3,500,000 3,103,482 3,185,991 3,290,864
3,000,000
2,500,000 3,028,530 2,943,521 2,588,642
2,000,000 2,208,103
1,500,000 2,493,933 2,637,699 2,584,665
1,972,119 2,032,064
2,219,259 2,288,071 2,493,212 2,564,662
2,372,001

- 86 - 2,217,848
2,003,844

1,834,301

1,000,000

500,000

0

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year