STATISTICAL REPORT 2009

IN-PATIENTS
IN 2009

.

Number of in-patients in each department classified monthly

Departmant Month
Total

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

Gynecology 463 435 492 437 505 500 505 509 513 547 527 511 5,944

Medicine 1,352 1,279 1,350 1,261 1,371 1,357 1,490 1,375 1,363 1,410 1,303 1,377 16,288

Obstetrics 1,457 1,353 1,612 1,382 1,491 1,452 1,628 1,604 1,749 1,738 1,418 1,514 18,398

Ophthalmology 432 436 496 463 453 484 411 422 467 496 486 414 5,460

Orthopaedic surgery 380 397 436 405 434 431 369 406 396 441 383 385 4,863

-39- Oto-Rhino-Laryngology 234 201 255 267 227 235 244 250 249 270 253 309 2,994

Pediatrics 724 677 763 632 660 704 805 733 740 754 707 678 8,577

Psychiatry 1 0 0 0 0 0 0 7 32 21 16 19 96

Radiology 131 109 106 94 116 102 107 109 112 135 131 138 1,390

Rehabilitation medicine 7 11 14 10 15 17 15 18 19 22 18 20 186

Research and development 47 85 33 16 0 8 87 4 3 27 87 71 468

Surgery 1,242 1,220 1,409 1,234 1,304 1,330 1,394 1,405 1,339 1,417 1,392 1,357 16,043

Total 6,470 6,203 6,966 6,201 6,576 6,620 7,055 6,842 6,982 7,278 6,721 6,793 80,707

Data source : Siriraj computer center
Date : 3 May 2010

Percentage of in-patients in each department

Research and development (0.58%) Surgery Gynecology
(19.88%) (7.36%)
Rehabilitation medicine
-40- (0.23%) Ophthalmology Medicine
Radiology Orthopaedic surgery (6.77%) (20.18%)
(1.72%)
Psychiatry (6.03%) Obstetrics
(0.12%) (22.80%)

Pediatrics
(10.63%)

Oto-Rhino-Laryngology
(3.71%)

Number of in-patients classified by payment methods

Payment methods Number
General patient 31,900
Universal coverage 25,608
Comptroller 16,415
Social security 4,623
Right to direct disbursement officers Bangkok 1,698
Staff and Mahidol student welfare 420
Monks
Other payers : State owned enterprise, etc 29
14
Total 80,707

Data source : Siriraj computer center
Date : 3 May 2010

Percentage of in-patients classified by payment methods

Right to direct Staff and Mahidol General patient
disbursement officers student welfare (0.52%) (39.53%)

Bangkok (2.10%) Monks (0.04%)
Social security Other payers (0.02%)
Comptroller (5.73%)
(20.34%)

Universal coverage
(31.73%)

-41-

Number of in-patients classified by age and gender

Age Gender Total

under 7 day Male Female 8,071
7-27 day 1,050
28 day - under 1 year 4,138 3,933 1,676
1-14 year 8,043
15-24 year 626 424 6,139
25-44 year 18,400
45-64 year 974 702 19,991
65 year and over 17,337
4,429 3,614 80,707
Total
1,640 4,499

4,228 14,172

8,682 11,309

8,055 9,282

32,772 47,935

Data source : Siriraj computer center
Date : 3 May 2010

25-44 year Percentage of in-patients classified by age
(22.80%)
45-64 year
(24.77%)

65 year and over
(21.48%)

15-24 year 1-14 year 7-27 day under 7 day
(7.61%) (9.97%) (1.30%) (10.00%)

28 day - under 1 year
(2.08%)

-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
5,276 533 15-21 22 - 30 28 5,944
Gynecology 10,990 2,972 74 33 805 16,288
Medicine 17,015 1,288 946 575 16 18,398
Obstetrics 4,934 340 61 18 56 5,460
Ophthalmology 2,637 1,441 95 35 262 4,863
Orthopaedic surgery 2,468 358 343 180 28 2,994
Oto-Rhino-Laryngology 6,181 1,463 103 37 392 8,577
Pediatrics 31 34 342 199 13 96
Psychiatry 1,090 126 46 1,390
Radiology 16 8 10 98 186
Rehabilitation medicine 3 1 90 38 0 468
Research and development 467 4,266 29 40 609 16,043
Surgery 9,888 12,838 00 2,353 80,707
60,980 838 442
Total 2,929 1,607

Data source : Siriraj computer center
Date : 3 May 2010

Percentage of in-patients classified by length of stay

under 7 day
(75.56%)

-44-

over 30 day 7-14 day
(2.92%) (15.91%)

22-30 day 15-21 day
(1.99%) (3.63%)

Occupancy rate classified monthly

Month Occupancy rate

January 66.08
February 69.57
March 71.08
April 66.59
May 69.40
June 73.07
July 74.90
August 73.54
September 78.31
October 78.27
November 77.12
December 75.71

Average 72.82

Data source : Siriraj computer center
Date : 3 May 2010

Percentage Occupancy rate classified monthly

80.00 78.31 78.27 77.12
75.00 74.90
71.08 73.07 73.54 75.71

70.00 69.57 69.40

65.00 66.08 66.59

60.00

55.00
Month
January
February

March
April
May
June
July
SeptAeumgbuestr
DNeoOcvceetmmobbbeeerrr

-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 0 54
Gynecology 5,884 1 4 45 1,567 5,944
Medicine 3 41 64 16,288
Obstetrics 14,378 146 1 138 10 00 18,398
Ophthalmology 1 74 2 1 15 5,460
Orthopaedic surgery 18,278 31 0 55 0 13 4,863
Oto-Rhino-Laryngology 1 22 85 39 77 2,994
Pediatrics 5,446 3 0 10 00 8,577
Psychiatry 0 24 2 0 54
Radiology 4,732 7 0 00 01 96
Rehabilitation medicine 0 19 1 00 1,390
Research and development 2,980 0 1 20 51 233 186
Surgery 11 00 142 2,018 468
-46- 8,374 60 121 9 16,043
Total 410 115 80,707
89 7

1,312 4

183 0

468 0

15,601 27

77,725 286

Data source : Siriraj computer center

Date : 3 May 2010 96.31 0.35 0.01 0.51 0.14 0.18 2.50 100.00

ช

Percentage of in-patients classified by discharge types

With approval
(96.31%)

-47-

Death without autopsy Against advice
(2.50%)
(0.35%)
Death with autopsy Escape
(0.18%)
(0.01%)
Transfer

(0.51%)

Others
(0.14%)

Number of births and deliveries of in-patients classified monthly

Month
Types Total

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

Births 710 682 764 695 744 741 797 796 876 813 698 750 9,066

- Neonate 707 677 762 692 742 737 794 793 872 809 691 747 9,023

- Stillbirth 3 5 2 3 2 4 3 3 4 4 7 3 43

Deliveries 702 671 755 679 735 727 782 781 870 795 682 741 8,920

-48- Data source : Obstretics and Gynecology department
Date : 3 May 2010

Number of in-patients classified by regions and gender

Regions Gender Total

Bangkok Male Female 41,980
Central 16,246 25,734 26,483
Northern 10,736 15,747 2,738
Northeastern 1,269 1,469 3,265
Eastern 1,461 1,804 2,361
Southern 1,184 1,177 2,656
Unknow 1,270 1,386 1,224
606 618 80,707
Total 32,772 47,935

Data source : Siriraj computer center
Date : 3 May 2010

-49-

Percentage of in-patients classified by regions

Northern
3.39

Northeastern
4.05

Central Eastern
32.81 2.93

€ Bangkok
52.02

Southern
3.29

-50-

Number of in-patients classifiled by nationalities

Nationalities Number Percentage (%)

Thai 78,666 97.47
American 27 0.03
Australian 6 0.01
Bangladeshi 5 0.01
British 17 0.02
Burmese 202 0.25
Cambodian 64 0.08
Canadian 7 0.01
Chinese 686 0.85
Filipino 22 0.03
German 17 0.02
Indian 72 0.09
Indonesian 8 0.01
Japanese 11 0.01
Lao 196 0.24
Malaysian 5 0.01
Nepalese 10 0.01
Vietnamese 17 0.02
Other 317 0.39
Unknow 352 0.44
100.00
Total 80,707

Data source : Siriraj computer center
Date : 3 May 2010

-51-

Top ten principal diagnoses of in-patients

ICD-10 Description Number Average
of visits length of stay
C00-C97 Malignant neoplasms
P50-P61 Haemorrhagic and haematological disorders of fetus and newborn 15,745 7.43
O60-O75 Complications of labour and delivery 3,914 4.35
I20-I25 Ischaemic heart diseases 3,345 4.61
H25-H28 Disorders of lens 3,277 4.42
O30-O48 Maternal care related to the fetus and amniotic cavity and possible 3,193 1.24
delivery problems 3,063 4.55
D10-D36 Benign neoplasms
Z30-Z39 Persons encountering health services in circumstances related to 2,569 5.66
reproduction 1,726 3.11
O80-O84 Delivery
M00-M25 Arthropathies 1,636 3.73
1,543 6.91
อ่ืน ๆ Others
40,696

Top ten principoathleDr iagnoses of in-patients

C00-C97 P50-P61
Malignant neoplasms Haemorrhagic and haematological

(19.51%) disorders of fetus and newborn
(4.85%)

Others O60-O75
(50.42%) Complications of
labour and delivery (4.14%)
M00-M25
Arthropathies (1.91%) I20-I25
Ischaemic heart
O80-O84 diseases (4.06%)
Delivery (2.03%)
H25-H28
Z30-Z39 D10-D36 Disorders of lens (3.96%)
Persons encountering Benign neoplasms
health services in circumstances O30-O48
related to reproduction (2.14%) (3.18%) Maternal care related to
the fetus and amniotic cavity
and possible delivery problems

(3.80%)

-52-

Top ten external causes of in-patients

ICD-10 Description Number of visits
Y40-Y59 3,258
Drugs, medicaments and biological substances causing adverse effects in
Y83-Y84 therapeutic use 2,274
Surgical and other medical procedures as the cause of abnormal reaction of
Y60-Y69 the patient or of later complication, without mention of misadventure at the 904
W00-W19 Misadventures to patients during surgical and medical care 802
Y90-Y98 730
Falls
W20-W49 425
V20-V29 Supplementary factors related to causes of morbidity and mortality classified 406
Y85-Y89 elsewhere 291
X85-Y09 Exposure to inanimate mechanical forces 262
Y70-Y82 176
Motorcycle rider injurred in transport accident

Sequelae of external causes of morbidity and mortality

Assault

Medical devices associated with adverse incidents in diagnostic and
therapeutic use

Others Top ten external causes of in-patients 751

Y40-Y59 Y83-Y84
Drugs, medicaments Surgical and other medical
and biological substances procedures as the cause of
causing adverse effects in abnormal reaction of the patient,
therapeutic use (31.70%) or of later complication, without
mention of misadventure at the
time of the procedure (22.12%)

Others Y60-Y69
(7.31%) Misadventures to patients during
surgical and medical care (8.79%)
Y70-Y82
Medical devices associated with W00-W19
adverse incidents in diagnostic and Falls (7.80%)

therapeutic use (1.71%) Y90-Y98
Supplementary factors related to
X85-Y0 Y85-Y89 W20-W49 causes of morbidity and mortality
Assault (2.55%) Sequelae of external causes Exposure to inanimate
classified elsewhere (7.10%)
of morbidity and mortality V20-V29 mechanical forces
(2.83%) Motorcycle rider injurred in (4.13%)
transport accident (3.95%)

-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 3,802
13.41 Phacoemulsification and aspiration of cataract 3,200
66.32 Other bilateral ligation and division of fallopian tubes 3,011
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy 1,830
68.49 Other and unspecified total abdominal hysterectomy 1,458
39.61 Extracorporeal circulation auxiliary to open heart surgery 1,155
37.22 Left heart cardiac catheterization 1,143
88.56 Coronary arteriography using two catheters 1,052
65.61 Other removal of both ovaries and tubes at same operative episode 1,025
866

Others 58,056

Top ten operations of in-patients

Others
(75.79%)

65.61 68.49 00.66 74.1
Other removal of both ovaries Other and unspecilied total Percutaneous transluminal Low cervical cesarean section
and tubes at same operative abdominal hysterectomy coronary angioplasty[PTCA]
or coronary atherectomy (1.90%) (4.96%)
episode(1.13%) (1.51%)
13.71
88.56 Insertion of intraocular lens
Coronary arteriography prosthesis at time of cataract
using two catheters (1.34%) extraction, one-stage (4.18%)

37.22 13.41
Left heart cardiac Phacoemulsification and
catheterization (1.37%) aspiration of cataract (3.93%)

39.61 66.32
Extracorporeal circulation auxiliary Other bilateral ligation and
division of fallopian tubes (2.39%)
to open heart surgery (1.49%)

-54-

Top ten procedures of in-patients

ICD-9-CM Description Number of
procedures
99.04 Transfusion of packed cells
99.25 Injection or infusion of cancer chemotherapeutic substance 8,024
75.34 Fetal monitoring, not otherwise specified 8,019
89.52 Electrocardiogram 7,196
88.72 Diagnostic ultrasound of heart 3,821
99.21 Injection of antibiotic 2,826
96.04 Insertion of endotracheal tube 2,822
99.83 Other phototherapy 2,158
87.44 Routine chest x-ray, so described 2,017
87.03 Computerized axial tomography of head 1,874
1,818

Top ten procedures of in-patients 73,764

Others

Others
(64.51%)

99.04
Transfusion of packed cells

(7.02%)

87.03 99.25
Computerized axial Injection or infusion of cancer
tomography of head (1.59%) chemotherapeutic substance

87.44 (7.01%)
Routine chest x-ray,
so described (1.64%) 75.34
Fetal monitoring, not otherwise
99.83 96.04 99.21 88.72
Other phototherapy Insertion of endotracheal Injection of antibiotic Diagnostic ultrasound specified (6.29%)

(1.76%) tube (1.89%) (2.47%) of heart (2.47%) 89.52
Electrocardiogram

(3.34%)

-55-

Top ten causes of death of in-patients

ICD-10 Description Number of visit

C22.- Malignant neoplasm of liver and intrahepatic bile ducts 90
C34.- Malignant neoplasm of bronchus and lung 85
J15.- Bacterial pneumonia, not elsewhere classified 83
J69.- Pneumonitis due to solids and liquids 78
I63.- Cerebral infarction 67
I61.- Intracerebral haemorrhage 64
C83.- Diffuse non-hodgkin's lymphoma 63
A41.- Other septicaemia 60
C92.- Myeloid leukaemia 57
J18.- Pneumonia, organism unspecified 57

Top ten causes of death of in-patients 1,456

Other

Other
(67.41%)

J18.- I61.- I63.- C22.-
Pneumonia, organism Intracerebral haemorrhage Cerebral infarction Malignant neoplasm of liver and
unspecified (2.64%) intrahepatic bile ducts (4.17%)
(2.96%) (3.10%)
C92.- C34.-
Myeloid leukaemia Malignant neoplasm of
bronchus and lung (3.94%)
(2.64%)
J15.-
A41.- Bacterial pneumonia, not
Other septicaemia elsewhere classified (3.84%)

(2.78%) J69.-
Pneumonitis due to solids
C83.-
Diffuse non-hodgkin's and liquids (3.61%)

lymphoma (2.92%)

-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
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 2,235 1.95
C83.- Diffuse non-hodgkin's lymphoma 732 5.97
C18.- Malignant neoplasm of colon 729 9.91
I63.- Cerebral infarction 623 3.63
C20.- Malignant neoplasm of rectum 489 11.77
C34.- Malignant neoplasm of bronchus and lung 332 3.49
I50.- Heart failure 332 10.08
I20.- Angina pectoris 313 10.44
C92.- Myeloid leukaemia 243 4.64
240 23.55

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 777
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in 525
306
therapeutic use, not elsewhere classified
Y40.- Systemic antibiotics adverse effect 291
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 205

complication, without mention of misadventure at the time of the procedure 171
Y44.- Agent primarily affecting blood constituents causing adverse effects in therapeutic use 120
Y62.- Failure of sterile precautions during surgical and medical care 104
Y52.- Agents primarily affecting the cardiovascular system causing adverse effects in 97
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the
88
patient, or of later complication, without mention of misadventure at the time of the
procedure
Y45.- Analgesics, antipyretics and anti-inflammatory drugs causing adverse effects in
therapeutic use

-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
37.22 Left heart cardiac catheterization 1,454
88.56 Coronary arteriography using two catheters 1,041
88.53 Angiocardiography of left heart structures 1,017
36.07 Insertion of drug-eluting coronary artery stents(s) 546
00.40 Procedure on single vessel 431
00.45 Insertion of one vascular stent 360
37.34 Catheter ablation of lesion or tissues of heart 255
39.50 Angioplasty or atherectomy of non-coronary vessel 242
00.24 Intravascular imaging of coronary vessels 206
194
Top ten procedures of in-patients
Department of Medicine Number of
procedures
ICD-9-CM Description
3,546
99.25 Injection or infusion of cancer chemotherapeutic substance 2,911
99.04 Transfusion of packed cells 2,540
89.52 Electrocardiogram 1,632
88.56 Coronary arteriography using two catheters 1,558
88.72 Diagnostic ultrasound of heart 1,343
88.77 Diagnostic ultrasound of peripheral vascular system 1,121
96.04 Insertion of endotracheal tube 946
99.05 Transfusion of platelets 928
96.71 Continuous mechanical ventilation for less than 96 consecutive hours 887
99.07 Transfusion of other serum

-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 793 4.05
C50.- Malignant neoplasm of breast 730 4.28
I25.- Chronic ischaemic heart disease 632 5.62
K40.- Inguinal hernia 513 11.01
K35.- Acute appendicitis 509 2.79
C61.- Malignant neoplasm of prostate 478 4.19
N18.- Chronic renal failure 433 7.84
N40.- Hyperplasia of prostate 378 5.40
C18.- Malignant neoplasm of colon 334 4.73
297 10.22

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 1,028
the procedure
151
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical
care 133
132
Y95.- Nosocomial condition
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 93
84
complication, without mention of misadventure at the time of the procedure 59
X99.- Assault by sharp object 56
Y40.- Systemic antibiotics adverse effect 55
W18.- Other fall on same level 45
V23.- Motorcycle rider injured in collision with car, pick-up truck or van
Y44.- Agent primarily affecting blood constituents causing adverse effects in therapeutic use
V29.- Motorcycle rider injured in other and unspecified transport accidents

-59-

Top ten operations of in-patients
Department of Surgery

ICD-9-CM Description Number of
operations
39.61 Extracorporeal circulation auxiliary to open heart surgery
51.23 Laparoscopic cholecystectomy 964
54.21 Laparoscopy 631
86.22 Excisional debridement of wound, infection, or burn 603
36.15 Single internal mammary-coronary artery bypass 483
40.23 Excision of axillary lymph node 466
47.09 Other appendectomy 463
90.79 Microscopic examination of specimen from lymph node and of lymph, other 460
40.53 Radical excision of iliac lymph nodes 432
60.5 Radical prostatectomy 319
313
Top ten procedures of in-patients
Department of Surgery Number of
procedures
ICD-9-CM Description
1,593
99.04 Transfusion of packed cells 735
87.03 Computerized axial tomography of head 556
93.39 Other physical therapy 509
88.01 Computerized axial tomography of abdomen 486
99.25 Injection or infusion of cancer chemotherapeutic substance 482
99.07 Transfusion of other serum 476
88.47 Arteriography of other intra-abdominal arteries 433
50.94 Other injection of therapeutic substance into liver 404
96.04 Insertion of endotracheal tube 377
88.72 Diagnostic ultrasound of heart

-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
O65.- Obstructed labour due to maternal pelvic abnormality 1,593 3.69
O34.- Maternal care for known or suspected abnormality of pelvic organs 1,103 4.96
O68.- Labour and delivery complicated by fetal stress [ distress ] 1,079 5.07
O60.- Preterm labour 943 4.22
O42.- Premature rupture of membranes 633 4.72
O47.- False labour 522 4.47
O03.- Spontaneous abortion 424 1.39
O33.- Maternal care for known or suspected disproportion 346 1.39
O02.- Other abnormal products of conception 250 5.25
246 1.49

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

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 5

W01.- Fall on same level from slipping, tripping and stumbling 3
Y40.- Systemic antibiotics adverse effect 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 2
procedure
W18.- Other fall on same level

-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 3,800
69.02 Dilation and curettage following delivery or abortion 1,827
66.62 Salpingectomy with removal of tubal pregnancy 622
75.51 Repair of current obstetric laceration of cervix 86
69.01 Dilation and curettage for termination of pregnancy 66
66.92 Unilateral destruction or occlusion of fallopian tube 47
65.29 Other local excision or destruction of ovary 33
68.29 Other excision or destruction of lesion of uterus 27
68.49 Other and unspecified total abdominal hysterectomy 24
16

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
75.35 Other diagnostic procedures on fetus and amnion 7,191
99.24 Injection of other hormone 1,295
88.78 Diagnostic ultrasound of gravid uterus 936
99.29 Injection or infusion of other therapeutic or prophylactic substance 870
75.69 Repair of other current obstetric laceration 849
96.49 Other genitourinary instillation 330
99.21 Injection of antibiotic 288
89.06 Consultation, described as limited 262
99.04 Transfusion of packed cells 197
170

-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
Q38.- Other congenital malformations of tongue, mouth and pharynx 3160 4.32
P20.- Intrauterine hypoxia 473 3.53
P07.- Disorders related to short gestation and low birth weight, not elsewhere 457 3.67
322 4.47
classified
P21.- Birth asphyxia 222 4.48
P22.- Respiratory distress of newborn 202 3.97
P05.- Slow fetal growth and fetal malnutrition 201 4.14
P55.- Haemolytic disease of fetus and newborn 139 5.53
P12.- Birth injury to scalp 62 3.82
P08.- Disorders related to long gestation and high birth weight 60 3.90

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
Y45.- Analgesics, antipyretics and anti-inflammatory drugs causing adverse effects in 11
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 1
1

-63-

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

ICD-9-CM Description Number of
operations
25.92 Lingual frenectomy
99.83 Other phototherapy 5
25.91 Lingual frenotomy 2
64.0 Circumcision 1
1

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 1,565
89.06 Consultation, described as limited 1,101
89.52 Electrocardiogram 38
87.49 Other chest x-ray 26
99.60 Cardiopulmonary resuscitation, not otherwise specified 19
99.16 Injection of antidote 11
88.72 Diagnostic ultrasound of heart
96.04 Insertion of endotracheal tube 7
96.07 Insertion of other (naso-)gastric tube 6
6
6

-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
C56.- Malignant neoplasm of ovary
D25.- Leiomyoma of uterus 1,212 3.26
N80.- Endometriosis 973 4.24
C54.- Malignant neoplasm of corpus uteri 560 3.28
C53.- Malignant neoplasm of cervix uteri 475 3.81
D27.- Benign neoplasm of ovary 412 5.22
N81.- Female genital prolapse 181 4.61
D39.- Neoplasm of uncertain or unknown behaviour of female genital organs 169 5.07
N93.- Other abnormal uterine and vaginal bleeding 128 3.83
N84.- Polyp of female genital tract 100 1.93
96 2.03

Top five 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
Y43.- Primarily systemic agents causing adverse effects in therapeutic use 164
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of 106
67
the patient, or of later complication, without mention of misadventure at the time of the
procedure 8

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

Y48.- Anaesthetics and therapeutic gases causing adverse effects in therapeutic use

-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 (TAH)
65.61 Other removal of both ovaries and tubes at same operative episode (BSO) 763
69.09 Other dilation and curettage
68.29 Other excision or destruction of lesion of uterus 290
65.49 Other unilateral salpingo-oophorectomy 230
65.25 Other laparoscopic local excision or destruction of ovary 188
68.59 Other vaginal hysterectomy 166
70.50 Repair of cystocele and rectocele 166
68.41 Laparoscopic total absominal hysterectomy (TLH) 134
65.63 Laparoscopic removal of both ovaries and tubes at same operative episode (BSO)
65.29 Other local excision or destruction of ovary 119
65.41 Laparoscopic unilateral salpingo-oophorectomy
108
89

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 2,524
99.21 Injection of antibiotic 750
89.52 Electrocardiogram 177
54.25 Peritoneal lavage 172
54.91 Percutaneous abdominal drainage 152
88.76 Diagnostic ultrasound of abdomen and retroperitoneum 118
91.16 Microscopic examination of peritoneal and retroperitoneal specimen, cell block and 118
112
Papanicolaou smear
89.06 Consultation, described as limited 109
99.03 Other transfusion of whole blood 104

-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 431 25.54

J18.- Pneumonia, organism unspecified 395 7.99
P59.- Neonatal jaundice from other and unspecified causes 381 3.92
Q21.- Congenital malformations of cardiac septa 342 6.02
C91.- Lymphoid leukaemia 273 10.23
A09.- Diarrhoea and gastroenteritis of presumed infectious origin 249 2.85
P22.- Respiratory distress of newborn 228 5.07
M32.- Systemic lupus erythematosus 183 4.98
J12.- Viral pneumonia, not elsewhere classified 181 5.11
A08.- Viral and other specified intestinal infections 160 3.01

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
230
Y40.- Systemic antibiotics adverse effect 87
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in 70

therapeutic use, not elsewhere classified 65
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction
64
of the patient, or of later complication, without mention of misadventure at the time of
the procedure 54
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of 44
later complication, without mention of misadventure at the time of the procedure 15
X58.- Exposure to other specifeid factors
Y62.- Failure of sterile precautions during surgical and medical care 14
Y45.- Analgesics, antipyretics and anti-inflammatory drugs causing adverse effects in 13
therapeutic use

Y95.- Nosocomial condition
Y44.- Agent primarily affecting blood constituents causing adverse effects in therapeutic

-67-

Top ten operations of in-patients
Department of Pediatrics

ICD-9-CM Description Number of
operations
25.91 Lingual frenotomy
37.23 Combined right and left heart cardiac catheterization 335
88.54 Combined right and left heart angiocardiography 252
39.61 Extracorporeal circulation auxiliary to open heart surgery 239
38.93 Venous catheterization, not elsewhere classified 156
89.65 Measurement of systemic arterial blood gases 87
89.66 Measurement of mixed venous blood gases 79
38.85 Other surgical occlusion of vessels, other thoracic vessels 79
88.72 Diagnostic ultrasound of heart 70
39.0 Systemic to pulmonary artery shunt 53
52

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 2,208
93.96 Other oxygen enrichment 1,664
99.59 Other vaccination and inoculation 1,483
99.33 Vaccination against tuberculosis 1,434
99.04 Transfusion of packed cells 1,433
93.94 Respiratory medication administered by nebulizer 1,189
99.25 Injection or infusion of cancer chemotherapeutic substance 944
90.39 Microscopic examination of specimen from ear, nose, throat, and larynx, other 880
841
microscopic examination
833
99.83 Other phototherapy

-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
C32.- Malignant neoplasm of larynx 212 2.32
G47.- Sleep disorders 190 7.63
D14.- Benign neoplasm of middle ear and respiratory system 190 2.27
J35.- Chronic diseases of tonsils and adenoids 179 2.82
J39.- Other diseases of upper respiratory tract 171 2.05
E04.- Other nontoxic goitre 153 4.81
C73.- Malignant neoplasm of thyroid gland 144 3.42
H91.- Other hearing loss 107 6.66
J32.- Chronic sinusitis 81 9.70
80 5.89

Top five 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 71
the procedure
55
W44.- Foreign body entering into or through eye or natural orifice 20
Y85.- Sequelae of transport accidents 19
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical 12

care

Y18.- Poisoning by and exposure to pesticides, undetermined intent

-69-

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

ICD-9-CM Description Number of
operations
31.42 Laryngoscopy and other tracheoscopy
97.23 Replacement of tracheostomy tube 712
33.23 Other bronchoscopy 223
33.22 Fiber-optic bronchoscopy 221
42.23 Other esophagoscopy 201
31.92 Lysis of adhesions of trachea or larynx 187
21.21 Rhinoscopy 182
06.2 Unilateral thyroid lobectomy 169
31.43 Closed [endoscopic] biopsy of larynx 168
28.2 Tonsillectomy without adenoidectomy 165
158
Top ten procedures of in-patients
Department of Oto-Rhino-Laryngology Number of
procedures
ICD-9-CM Description
255
95.41 Audiometry 164
99.04 Transfusion of packed cells 48
89.17 Polysomnogram 21
97.37 Removal of tracheostomy tube 21
99.25 Injection or infusion of cancer chemotherapeutic substance 18
87.09 Other soft tissue x-ray of face, head, and neck 17
99.07 Transfusion of other serum 13
92.14 Bone scan 10
87.61 Barium swallow 10
88.41 Arteriography of cerebral arteries

-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 2,962 1.19
H40.- Glaucoma 346 4.59
H35.- Other retinal disorders 273 3.23
H50.- Other strabismus 208 1.96
H16.- Keratitis 175 1.25
H04.- Disorders of lacrimal system 160 22.21
H26.- Other cataract 143 1.29
Z48.- Other surgical follow-up care 125 1.74
H27.- Other disorders of lens 107 2.14
99 2.16

Top five 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
care 196

Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of 150
the patient, or of later complication, without mention of misadventure at the time of the
procedure 44
19
W20.- Struck by thrown, projected or falling object 16
W44.- Foreign body entering into or through eye or natural orifice
W27.- Contact with nonpowered hand tool

-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 3,189
14.74 Other mechanical vitrectomy 3,004
14.75 Injection of vitreous substitute 771
14.79 Other operations on vitreous 502
14.9 Other operations on retina, choroid, and posterior chamber 467
14.54 Repair of retinal detachment with laser photocoagulation 350
99.25 Injection or infusion of cancer chemotherapeutic substance 298
13.2 Extracapsular extraction of lens by linear extraction technique 268
39.97 Other perfusion 200
197
Top ten procedures of in-patients
Department of Ophthalmology Number of
procedures
ICD-9-CM Description
108
10.91 Subconjunctival injection 60
12.66 Postoperative revision of scleral fistulization procedure 49
12.12 Other iridotomy 49
14.54 Repair of retinal detachment with laser photocoagulation 38
99.23 Injection of steroid 28
14.24 Destruction of chorioretinal lesion by laser photocoagulation 25
88.91 Magnetic resonance imaging of brain and brain stem 21
87.03 Computerized axial tomography of head 17
03.31 Spinal tap 15
95.13 Ultrasound study of eye

-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 773 7.58
M23.- Internal derangement of knee 317 17.40
M48.- Other spondylopathies 290 3.00
T84.- Complications of internal orthopaedic prosthetic devices, implants and 241 10.35
192 23.99
grafts
Z47.- Other orthopaedic follow-up care 156 2.33
M51.- Other intervertebral disc disorders 135 6.73
M43.- Other deforming dorsopathies 132 9.77
S82.- Fracture of lower leg, including ankle 122 11.83
M47.- Spondylosis 109 9.62

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 341
242
of the patient, or of later complication, without mention of misadventure at the time of
the procedure 100
99
Y79.- Orthopaedic devices associated with adverse incidents 90
Y85.- Sequelae of transport accidents
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical 74

care 62
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in 49
49
therapeutic use, not elsewhere classified 45
V23.- Motorcycle rider injured in collision with car, pick-up truck or van
V28.- Motorcycle rider injured in noncollision transport accident
Y40.- Systemic antibiotics adverse effect
X59.- Exposure to other unspecifeid factor

-73-

Top ten operations of in-patients
Department of Orthopaedic surgery

ICD-9-CM Description Number of
operations
81.54 Total knee replacement
83.21 Biopsy of soft tissue 706
03.09 Other exploration and decompression of spinal canal 494
80.26 Arthroscopy, knee 481
81.08 Lumbar and lumbosacral fusion, posterior technique 343
77.79 Excision of bone for graft, other 285
83.81 Tendon graft 269
80.51 Excision of intervertebral disc 260
81.45 Other repair of the cruciate ligaments 253
79.15 Closed reduction of fracture with internal fixation, femur 237
209
Top ten procedures of in-patients
Department of Orthopaedic surgery Number of
procedures
ICD-9-CM Description
1,051
99.04 Transfusion of packed cells 357
81.62 Fusion or refusion of 2-3 vertebrae 294
93.46 Other skin traction of limbs 245
00.74 Hip replacement bearing surface, metal on polyethylene 244
92.24 Teleradiotherapy using photons 213
93.54 Application of splint 142
93.53 Application of other cast 139
84.52 Insertion of recombinant bone morphogenetic protein 109
39.95 Hemodialysis 108
96.71 Continuous mechanical ventilation for less than 96 consecutive hours

-74-

Top five 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 44 38.00
I63.- Cerebral infarction 15 35.27
M62.- Other disorders of muscle 7 52.14
M51.- Other intervertebral disc disorders 6 39.50
4 37.25

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 10
7
complication, without mention of misadventure at the time of the procedure
W01.- Fall on same level from slipping, tripping and stumbling 4
Y40.- Systemic antibiotics adverse effect 4
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 4

patient, or of later complication, without mention of misadventure at the time of the 4
Y86.- Sequelae of other accidents 3
Y87.- Sequelae of intentional self-harm, assault and events of undeterminde intent 2
Y42.- Hormones and their synthetic substitutes and antagonists causing adverse effects in
2
therapeutic use, not elsewhere classified 2
Y47.- Sedatives, hypnotics and antianxiety drugs causing adverse effects in therapeutic use
Y89.- Sequelae of other external causes

-75-

Top ten operations of in-patients
Department of Rehabilitation medicine

ICD-9-CM Description Number of
operations
01.24 Other craniotomy
31.29 Other permanent tracheostomy 4
04.04 Other incision of cranial and peripheral nerves 3
57.32 Other cystoscopy 2
80.51 Excision of intervertebral disc 2
00.24 Intravascular imaging of coronary vessels 2
02.2 Ventriculostomy 1
03.09 Other exploration and decompression of spinal canal 1
04.07 Other excision or avulsion of cranial and peripheral nerves 1
57.0 Transurethral clearance of bladder 1
1
Top ten procedures of in-patients
Department of Rehabilitation medicine Number of
procedures
ICD-9-CM Description
155
93.13 Resistive exercise 144
93.83 Occupational therapy 137
93.22 Ambulation and gait training 102
94.49 Other counselling 99
93.27 Stretching of muscle or tendon 98
93.81 Recreation therapy 96
93.12 Other active musculoskeletal exercise 93
93.34 Diathermy 91
93.35 Other heat therapy 76
93.24 Training in use of prosthetic or orthotic device

-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
C53.- Malignant neoplasm of cervix uteri 360 3.34
C79.- Secondary malignant neoplasm of other sites 231 4.83
C11.- Malignant neoplasm of naopharynx 198 13.20
C73.- Malignant neoplasm of thyroid gland 145 4.29
C78.- Secondary malignant neoplasm of respiratory and digestive organs 100 2.90
C15.- Malignant neoplasm of oesophagus 45 5.02
C32.- Malignant neoplasm of larynx 39 5.77
C34.- Malignant neoplasm of bronchus and lung 32 7.25
C09.- Malignant neoplasm of tonsil 25 13.12
23 3.65

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
Y43.- Primarily systemic agents causing adverse effects in therapeutic use 94
Y95.- Nosocomial condition 23
W18.- Other fall on same level 14
Y57.- Other and unspecified drugs and medicaments causing adverse effects in therapeutic 3
3

-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
43.19 Other gastrostomy 53
40.11 Biopsy of lymphatic structure 8
55.03 Percutaneous nephrostomy without fragmentation 5
77.49 Biopsy of bone, other 4
3
Top five procedures of in-patients
Department of Radiology Number of
procedures
ICD-9-CM Description
664
92.24 Teleradiotherapy using photons 526
99.25 Injection or infusion of cancer chemotherapeutic substance 469
92.29 Other radiotherapeutic procedure 459
92.18 Total body scan 190
99.04 Transfusion of packed cells 175
87.44 Routine chest x-ray, so described 89
93.96 Other oxygen enrichment 77
89.52 Electrocardiogram 75
96.38 Removal of impacted feces 61
93.39 Other physical therapy

-78-

Top ten principal diagnoses of in-patients
Department of Psychiatry

ICD-10 Description Number Average
of visits Length of stay
F20.- Schizophrenia
F31.- Bipolar affective disorder 25 23.00
F32.- Depressive episode 19 18.68
F06.- Other mental disorders due to brain damage and dysfunction and to physical 9 8.11
F25.- Schizoaffective disorders 5 22.00
F43.- Reaction to sever stress, and adjustment disorders 5 17.00
F10.- Mental and behavioural disorders due to use of alcohol 5 3.60
F05.- Delirium not induced by alcohol and other psychoactive substances 4 12.50
F15.- Mental and behavioural disorders due to use of other stimulants, including 3 12.33
caffeine 3 4.00
F33.- Recurrent depressive disorder
2 9.50

Top ten 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 21
9
complication, without mention of misadventure at the time of the procedure
W06.- Fall involing bed 3
Y55.- Agents primarily acying on smooth and skeletal muscles and the respiratory system 3

causing adverse effects in therapeutic use 2
W01.- Fall on same level from slipping, tripping and stumbling 2
X60.- Intentional self-poisoning by and exposure to nonpioid analgesics, antipyretics and
2
antirheumatics 2
X83.- Intentional self-harm by other specifiecd means 1
Y46.- Antiepileptics and antiparkinsonism drugs causing adverse effects in therapeutic use 1
W10.- Fall on and from stairs and steps
W17.- Other fall from one level to another

-79-

Operations of in-patients
Department of Psychiatry

ICD-9-CM Description Number of
operations
31.42 Laryngoscopy and other tracheoscopy
33.22 Fiber-optic bronchoscopy 1
64.5 Operations for sex transformation, not elsewhere classified 1
1
Top ten procedures of in-patients
Department of Psychiatry Number of
procedures
ICD-9-CM Description
79
94.44 Other group therapy 20
94.27 Other electroshock therapy 20
94.35 Crisis intervention 13
89.52 Electrocardiogram 8
94.02 Administration of psychologic test 5
89.14 Electroencephalogram 4
93.57 Application of other wound dressing 4
94.62 Alcohol detoxification 3
94.01 Administration of intelligence test 2
88.91 Magnetic resonance imaging of brain and brain stem

-80-

Principal diagnosis of in-patients
Department of Research and development

ICD-10 Description Number Average
of visits Length of stay
Z00.- General examination and investigation of persons without complaint or
reported diagnosis 486 1.15

-81-

.

TRENDS
IN 2000 - 2009

.

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

400,000 343,684 359,353
350,000 312,911
300,000 New visitor
250,000 296,790 Revisitor
200,000 274,927
156,873
-85- 163,000 156,145 145,256 149,158 162,663 174,096 168,120
146,264 144,960
150,000

100,000

50,000

0

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year

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

3,500,000 3,028,530 3,103,482
3,000,000 2,943,521
2,500,000
2,000,000 2,637,699 2,584,665
1,500,000 2,493,933
1,000,000 2,219,259 2,288,071
2,223,025 2,208,103 2,003,844 2,217,848 2,372,001 2,493,212
1,716,563 1,972,119 2,032,064
-86- 1,537,305 1,834,301 Clinical services
1,526,972
Hospital visits

500,000

0

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year