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Statistical Report 2016


Siriraj Hospital

Published by
Division of Medical Record, Siriraj Hospital
Faculty of Medicine Siriraj Hospital
Mahidol University, Bangkok, Thailand
Tel: 66 0 2419 9319, Fax: 66 0 2411 2080

1st Printing, 300 Copies


November 2017

ISBN 974-587-709-3
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Consultants
Assoc. Prof. Visit Vamvanij, MD Director of Siriraj Hospital
Assist. Prof. Monsak Chuchotirot, MD Vice Director of Siriraj Hospital
Departments / Divisions Faculty of Medicine Siriraj Hospital

Working Group
Miss.Kanyaporn Trongsujarit Head of Medical Record Division
Mr.Preecha Jumnongsin Head of Out Patient Medical Record Unit
Miss.Sunisa Sriart Head of In Patient Medical Record Unit
Miss.Penporn Chomchatchawan Head of Medical Coding Unit
Mr.Wichit Khamphul Head of Medical Statistics Report Unit
Mr.Wootisak Singhto Head of General Administration Unit
Mr.Kittiphoom Thongsom Computer Technical Officer
Miss.Pornchanut Mungnoi Academic Statistician
Miss.Tassanun Thanprasertkul Medical Statistician
Mr.Pranom Thaotthiam Medical Statistician
Miss.Suchanan Atswathumarat Medical Statistician
.
Foreword

Siriraj Statistical Report 2016 is formulated to present the patient care statistics
of the clinical service units, supporting units and departments. The content is comprised
of general, out-patient, in-patient and other medical services statistics. The Medical
Record Division is responsible for tracking and correcting data, inspecting and
cooperating with involving departments in order to get the comprehensive and accurate
information.

On behalf of Siriraj Hospital, I would like to thank the departments/divisions,


Human Resource Department, Nursing Department, Siriraj information technology
department and every personnel in the relevant divisions who kindly cooperate and
support in submitting information monthly and annually to make this report completed.

I also hope that this statistical report will be useful and beneficial to healthcare
personnel. However, if there is any error occurring in the report; please kindly inform the
Medical Record Division.

Assoc. Prof. Visit Vamvanij, MD


Director of Siriraj Hospital
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Contents
Page
General data in 2016
Number of personnel classified by position.........................................................................................................................
3
Percentage of personnel classified by position..............................................................................................................................
3
Number of physicians classified by field of specialty.......................................................................................................
4
Number of beds in each department classified by types of bed............................................................................................ 5

Out-patients in 2016
Number of out-patients classified by unit and gender...................................................................................................................
9
Number of hospital visits of out-patients classified monthly........................................................................................................
10
Number of clinical services of out-patients classified monthly....................................................................................................
11
Number of hospital visits of out-patients classified by age and gender...........................................................................12
Percentage of hospital visits of out-patients classified by age ...........................................................................................
12
Number of clinical services of out-patients classified by age and gender...........................................................................
13
Percentage of clinical services of out-patients classified by age.............................................................................................
13
Number of clinical services of out-patients classified by clinic codes including subclinic codes....................................... 14
Number of hospital visits of out-patients classified by health insurance....................................................................... 17
Percentage of hospital visits of out-patients classified by health insurance.......................................................................
17
Number of hospital visits of out-patients classified by regions and gender.......................................................................18
Percentage of hospital visits of out-patients classified by regions................................................................................
19
Number of hospital visits of out-patients residing in Bangkok classified by districts.............................................................................
20
Percentage of hospital visits of out-patients residing in Bangkok classified by districts.......................................................................
22
Number of hospital visits of out-patients residing in central Thailand classified by provinces..............................................................
23
Percentage of hospital visits of out-patients residing in central Thailand classified by provinces........................................................
24
Number of hospital visits of out-patients residing in northern Thailand classified by provinces...........................................................
25
Percentage of hospital visits of out-patients residing in northern Thailand classified by provinces......................................................
26
Number of hospital visits of out-patients residing in northeastern Thailand classified by provinces.....................................................
27
Percentage of hospital visits of out-patients residing in northeastern Thailand classified by provinces...............................................
28
Number of hospital visits of out-patients residing in eastern Thailand classified by provinces.............................................................
29
Percentage of hospital visits of out-patients residing in eastern Thailand classified by provinces.......................................................
30
Number of hospital visits of out-patients residing in southern Thailand classified by provinces...........................................................
31
Percentage of hospital visits of out-patients residing in southern Thailand classified by provinces.....................................................
32
Number of hospital visits of out-patients classified by nationality....................................................................................
33
Page
Top ten diagnoses of out-patients...................................................................................................................................................
34
Top ten external causes of out-patients............................................................................................................................................
35
Health problems of out-patients.............................................................................................................................................
36

In-patients in 2016
Number of in-patients in each department classified monthly................................................................................................. 39
Percentage of in-patients in each department.............................................................................................................................
40
Number of in-patients classified by health insurance................................................................................................................
41
Percentage of in-patients classified by health insurance..........................................................................................................
41
Number of in-patients classified by age and gender..................................................................................................................
42
Percentage of in-patients classified by age.....................................................................................................................................
42
Number of in-patients in each department classified by length of stay………..................................................................... 43
Percentage of in-patients classified by length of stay……...........................................................................................................
44
Bed occupancy rate classified monthly......................................................................................................................................
45
Number of in-patients in each department classified by discharge types............................................................................... 46
Percentage of in-patients classified by discharge types.............................................................................................................
47
Number of births and deliveries of in-patients classified monthly............................................................................................. 48
Number of in-patients classified by regions and gender..................................................................................................... 49
Percentage of in-patients classified by regions.................................................................................................................
50
Number of in-patients classified by nationality...................................................................................................................
51
Top ten principal diagnoses of in-patients......................................................................................................................................
52
Top ten external causes of in-patients.............................................................................................................................................
53
Top ten operations of in-patients..........................................................................................................................................
54
Top ten procedures of in-patients..........................................................................................................................................
55
Top ten causes of death of in-patients..........................................................................................................................................
56

Principal diagnoses, external causes, operations and procedures of in-patients


Department of Medicine.............................................................................................................................................................
57
Department of Surgery................................................................................................................................................................
59
Department of Obstetrics and Gynecology.......................................................................................................................................
61
Department of Obstetrics and Gynecology : Obstetric unit (Newborn)..................................................................................................
63
Department of Pediatrics..........................................................................................................................................................
64
Department of Otorhinolaryngology.......................................................................................................................................
66
Page
Department of Ophthalmology.........................................................................................................................................................
68
Department of Orthopaedic surgery.......................................................................................................................................
70
Department of Rehabilitation medicine.......................................................................................................................................
72
Department of Radiology...............................................................................................................................................................
74
Department of Psychiatry.............................................................................................................................................................
76
Department of Emergency Medicine..............................................................................................................................................
78
Department of Her Majesty Cardiac Center.......................................................................................................................................
80

Trends in 2007 - 2016


Trends in number of new visitor and revisitor of out-patients..................................................................................................................
85
Trends in number of hospital visits and clinical services of out-patients................................................................................................
86
Trend in number of in-patients..............................................................................................................................................................
87
Trends in number of births and deaths of in-patients.....................................................................................................................
88
Trends in number of physician registered nurse and bed.....................................................................................................................
89

Other medical services in 2016


Statistics of Department of Anatomy
 Number of body donor classfied by gender..................................................................................................................
93
Statistics of Department of Pediatrics
 Number of out-patients classified by clinic: Division of Endocrinology & Metabolism...................................................................
94
 Number of in-patients classified by patient's type: Division of Endocrinology & Metabolism........................................................
94
 Number of out-patients in Gastroenterology and Liver clinic: Division of Gastroenterology....................................... 95
 Number of in-patients in Gastroenterology and Liver clinic: Division of Gastroenterology....................................... 95
 Number of out-patients in Nutrition clinic: Division of Nutrition….................................................................................
96
 Number of in-patients in Nutrition clinic: Division of Nutrition…....................................................................................
96
 Number of out-patients in Special clinic: Division of Allergy and Immunology.....................................................................
97
 Number of patients with operation: Division of Allergy and Immunology..................................................................... 97
 Number of in-patients in High Risk clinic: Division of Developmental Behavioral Pediatrics.........................................................
98
 Number of consulting for patients: Division of Developmental Behavioral Pediatrics....................................................................
98
 Number of out-patients in Neurology clinic: Division of Neurology….................................................................................
99
 Number of in-patients classified by patient's type: Division of Neurology….................................................................................
99
 Number of out-patients classified by clinic: Division of Medical Genetics...............................................................................
100
 Number of patients classified by patient's type: Division of Respiratory................................................................ 101
Page
 Number of counseling for Teenager and Teenage mothers: Division of Ambulatory Pediatrics..........................................
102
 Number of out-patients in Continuity of case pediatric clinic: Division of Ambulatory Pediatrics..........................................
102
 Number of in-patients in Rheumatology clinic: Division of Rheumatology................................................................
103
 Number of in-patients in PICU Ward: Division of Intensive care....................................................................................
103
 Number of in-patients in RCU Ward: Division of Intensive care....................................................................................
104
 Number of procedure in Chemotherapy Center: Division of Hematology and Oncology..........................................
105
 Number of death patients classified by monthly.......................................................................................................
105
 Number of out-patients classified by clinic........................................................................................................................
106
Statistics of Department of Microbiology
 Number of Specimen receiving and registering services............................................................................................
107
 Number of services: Bacteriology Laboratory..................................................................................................................
108
 Number of services: Mycobacteriology & Mycology Laboratory.....................................................................................................
109
 Number of services: Virology Laboratory......................................................................................................................
110
 Number of services: Serology Laboratory......................................................................................................................
111
 Number of services: Molecular Microbiology Laboratory................................................................................................................
113
 Number of services: Environmental Microbiology Laboratory.........................................................................................................
116
Statistics of Department of Dermatology
 Number of patient services classified by clinic.......................................................................................................................
118
 Number of patient services classified by laboratory testing…........................................................................................................
119
 Number of patient services classified by operative..........................................................................................................
120
Statistics of Department of Forensic Medicine
 Number of patients classified by indicators.................................................................................................................
121
Statistics of Department of Parasitology
 Number of examining at the central laboratory classified by type of examining............................................................................
122
 Number of examining at the special laboratory classified by type of examining............................................................................
123
Statistics of Department of Pathology
 Number of services classified by working type............................................................................................................
124
Statistics of Department of Clinical Pathology
 Number of laboratory examination and services provision classified by laboratory......................................................................
126
 Number of examination at Central Laboratory: Chemical clinic......................................................................................
127
 Number of examination at Central Laboratory: Hemostasis system......................................................................................
131
 Number of examination at Central Laboratory: Hematology..............................................................................................
131
 Number of examination at Central Laboratory: Microscopy..............................................................................................
132
Page
 Number of examination at Special Laboratory: Serology and Immunology....................................................................................
133
 Number of examination at Special Laboratory: Hemostasis system..............................................................................................
136
 Number of examination at Special Laboratory: Infant Down Syndrome Screening Test................................................................
136
 Number of examination at Molecular Clinical Pathology Laboratory..............................................................................................
137
 Number of examination at Point of Care (Glucose)..................................................................................................
137
Statistics of Department of Pharmacology
 Number of laboratory services classified by services..................................................................................................
138
Statistics of Department of Radiology
 Number of patients in Out-patients unit: Division of Radiotherapy..................................................................................................
140
 Number of patients and Bed Occupancy Rate in In-patients unit: Division of Radiotherapy.........................................................
141
 Number of patients classified by unit: Division of Radiotherapy.....................................................................................................
142
 Number of patients classified by examination: Division of Diagnostic Radiology...........................................................................
143
 Number of services in CT Scan classfied by organ system: Division of Nuclear Medicine...........................................................
144
 Number of other services than scanning (1) classified by work type: Division of Nuclear Medicine.............................................146
 Number of other services than scanning (2) classified by work type: Division of Nuclear Medicine.............................................147
Statistics of Department of Immunology
 Number of patients classified by diagnosis type..............................................................................................................
149
Statistics of Department of Anesthesiology
 Number of patients services classified by unit..............................................................................................................
152
 Number of Anesthesia services classified by patient's type.................................................................................................
153
 Number of Anesthesia services classified by services unit.................................................................................................
154
Statistics of Department of Transfusion Medicine
 Number of services and working classified by working type.................................................................................................
155
Statistics of Department of Preventive and Social Medicine
 Number of treatment services classified by clinic..........................................................................................................
157
Statistics of Department of Orthopaedic Surgery
 Number of patients in each month classified by unit.....................................................................................................
158
 Number of In-patients and dead in each month classified by gender............................................................................................
159
Statistics of Department of Surgery
 Number of patients classified by patient's type: Division of Trauma Surgery.................................................................................
160
 Number of operation at Trauma Surgery classified by patient's type.............................................................................................
161
Statistics of Department of Physiology
 Number of laboratory examination: Division of Cardiovascular Physiology....................................................................................
162
Page
Statistics of Department of Obstetrics and Gynaecology
 Number of patients in each month classified by patient's type.......................................................................................................
163
 Number of Birth and Neonate classified by gender.....................................................................................................................
164
Statistics of Department of Otorhinolaryngology
 Number of out-patients classified by clinic....................................................................................................................
165
 Number of patients at Special clinic classified by clinic..................................................................................................................
165
 Number of patients of Neuro-Otology clinic: Division of Otology, Neuro Otology & Audiology..................................................... 166
 Number of patients of Audiology room: Division of Otology, Neuro Otology & Audiology............................................................ 167
 Number of patients of Hearing aide room: Division of Otology, Neuro Otology & Audiology........................................................ 167
 Top ten diseases of Speech and Language clinic: Division of Laryngology Head & Neck Surgery............................................. 168
 The treatment ranking of Speech and Language clinic: Division of Laryngology Head & Neck Surgery...................................... 168
 Number of patients of Allergy clinic: Division of Rhinology & Allergy..............................................................................................
169
 Number of out-patients classified by age and gender....................................................................................................................
169
 Top twenty diseases of general ENT unit and special clinic...........................................................................................................
170
 Top twenty procedures of general ENT unit and special clinic.......................................................................................................
171
 Number of in-patients classified by ward....................................................................................................................
172
 Number of in-patients classified by age and gender....................................................................................................................
172
 Number of in-patients classified by patient's type....................................................................................................................
173
 Top twenty diseases of in-patients...................................................................................................................................
174
 Number of operations in the operating theater on the 4th floor of Syamindra Building..................................................................
175
 Number of operations in the operating room classified by key performance index list..................................................................
176
 Top twenty diseases in the operation on the 4th floor of Syamindra Building................................................................................
177
 Top twenty procedures in the operation on the 4th floor of Syamindra Building............................................................................
178
 Number of medical services in the operation on the 4th floor of Syamindra Building....................................................................
178
Statistics of Her Majesty Cardiac Center
 Number of out-patients classified by unit of treatment service.......................................................................................................
179
 Number of in-patients classified by ward..................................................................................................................
180
Statistics of Pharmacy Division
 Number of services classified by type of services...................................................................................................................
181
Statistics of Nutrition Department
 Number of services patients classified by patient's type................................................................................................................
182
Statistics of Dental Department
 Number of services provision to patient classified monthly.............................................................................................................
183
Page
Statistics of Patient Transfer Division
 Number of providing moving services classified by type of services...................................................................................
184
Statistics of Siriraj Organ Transplant
 Number of services classified by services category: Organ transplantation clinic........................................................................
185
Statistics of Toxicology Division
 Number of clinical toxicology laboratory tests classified by list.......................................................................................
186
 Number of samples laboratory of Clinical Toxicology classified by list.......................................................................................
187
 Number of the response to the question about drugs classified by genre questioner...................................................................
196
 Number of the response to the question about drugs classified by questions...............................................................................
197
 Number of questions answered of toxicology classified by vocation consultant type....................................................................
198
 Number of questions answered of toxicology classified by age of patients receiving toxic..........................................................
198
 Number of questions answered of toxicology classified by type of toxins......................................................................................
199
Statistics of Research Center for Nutritional Support
 Number of consulted patients classified by patient's type.......................................................................................................
200
Statistics of Siriraj Primary Care Unit
 Number of patients receiving services classified by diagnosis type...................................................................................
201
 Number of monthly patients classified by patient's type...................................................................................................
202
Statistics of Medical Record Division
 Number of new patient registration: Out patient Medical Record Unit............................................................................................
203
 Number of patient registration in The disbursement of the money being official............................................................................
203
 Number of informed services regarding birth-death: Out patient Medical Record Unit.................................................................
204
 Number of working classified by working category: Medical Coding Unit.....................................................................................
204
 Number of services for the request of medical history through Office of the Director....................................................................
205
 Number of data retrieving services regarding birth-death: In patient Medical Record Unit..........................................................
205
 Number of electronic medical record services: Medical Statistics Report Unit.............................................................................
206
 Number of medical statistics information services: Medical Statistics Report Unit.......................................................................
206
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GENERAL DATA
IN 2016
.
GENERAL DATA IN 2016

Number of personnel in 2016, classified by position

Position Number
Physician 1,441 9.84

Dentist 23 0.16

Pharmacist 216 1.47

Registered nurse 3,183 21.73

Practical nurse 2,302 15.71

Others 7,484 51.09

Total 14,649 100.00

Note: 275 faculty consultants and 658 sponsered residents are not included.
Data source: Human resource department
Date: 21 February 2017

Percentage of personnel in 2016, classified by position

Practical nurse
(15.71%) Others
(51.09%)

Registered nurse
(21.73%)
Pharmacist Dentist Physician
(1.47%) (0.16%) (9.84%)

3
STATISTICAL REPORT 2016

Number of physicians in 2016, classified by field of specialty


Physicians in position
Field of specialty / Department Total
Staff Fellows & Residents
Anatomy 24 16 40
Anesthesiology 65 32 97
Biochemistry 14 11 25
Clinical Pathology 15 3 18
Dermatology 20 13 33
Emergency Medicine 8 12 20
Forensic Medicine 12 8 20
Immunology 14 4 18
Medicine 142 121 263
Microbiology 19 0 19
Obstetrics & Gynaecology 62 27 89
Ophthalmology 28 5 33
Orthopedic Surgery 41 22 63
Otorhinolaryngology 24 16 40
Parasitology 10 0 10
Pathology 26 13 39
Pediatrics 68 54 122
Pharmacology 15 8 23
Physiology 13 8 21
Preventive and Social Medicine 17 6 23
Psychiatry 29 11 40
Radiology 67 68 135
Rehabilitation Medicine 19 8 27
Surgery 99 52 151
Transfusion Medicine 6 1 7
Office for Research and Development 20 0 20
Her Majesty Cardiac Center 4 3 7
Center of Applied Thai Traditional medicine 10 0 10
Medical Education Technology Center 8 0 8
Other 8 12 20
Total 907 534 1,441

Note : 658 sponsered residents are not included.


Data source: Human resource department
Date: 21 February 2017

4
GENERAL DATA IN 2016

Number of beds in each department in 2016, classified by types of bed

Types of bed
Department I.C.U ICCU Newborn Ordinary Ordinary Single special Special mix Total
(children)
Medicine 40 33 - 248 - 123 71 515
Obstetrics & Gynaecology - - 116 149 35 58 38 396
Ophthalmology - - - 48 - 24 8 80
Orthopedic Surgery - 13 - 21 - 40 4 78
Otorhinolaryngology - - - 58 - - 4 62
Pediatrics 27 12 - 157 - 27 16 239
Radiology - - - 19 - 11 3 33
Surgery 48 24 - 290 - 41 - 403
Surgery & Orthopaedic Surgery - - - 26 - 72 46 144
Cardiovascular center 7 18 - - - - - 25
Other - - - - - 64 22 86
Total 122 100 116 1,016 35 460 212 2,061

Data source: Nursing department


Date: 2 February 2017

5
.
OUT-PATIENTS
IN 2016
.
OUT-PATIENTS IN 2016

Number of out-patients in 2016, classified by unit and gender

Gender
Unit Total
Male Female
Population 211,559 383,888 595,447
- New visitor 56,127 83,962 140,089
- Revisitor 155,432 299,926 455,358
Hospital visits 1,084,726 1,923,902 3,008,628
Clinical services 1,397,081 2,421,595 3,818,676

Data source: Siriraj information technology department


Date: 19 June 2017

Note :
Ø Population is the number of patients : Counted by person
- New visitor is the number of new patients : Counted by person
- Revisitor is the number of old patients : Counted by person
Ø Hospital visits is the number of patients who come to receive service in the hospital : Counted by cases
Ø Clinical services is the number of service the patients received : Counted by services

9
STATISTICAL REPORT 2016

Number of hospital visits of out-patients in 2016, classified monthly


Month Number of visit
January 242,633
February 243,480
March 275,708
April 223,409
May 248,533
June 261,642
July 233,123
August 278,790
September 260,700
October 244,319
November 260,110
December 236,181
Total 3 008 628
3,008,628

Data source: Siriraj information technology department


Date: 19 June 2017

Number of hospital visits of out-patients in 2016, classified monthly


261,642 278,790
242,633 275,708 248,533 260,700 260,110
243,480 223,409 233,123 244,319 236,181
250,000

200,000

150,000

100,000

50,000

0
Month

10
OUT-PATIENTS IN 2016

Number of clinical services of out-patients in 2016, classified monthly


Month Number of services
January 305,971
February 305,905
March 347,982
April 281,512
May 315,017
June 331,937
July 298,730
August 353,988
September 331,801
October 312,680
November 331,415
December 301,738
Total 3 818 676
3,818,676

Data source: Siriraj information technology department


Date: 19 June 2017

Number of clinical services of out-patients in 2016, classified monthly

353,988
400,000 347,982 331,937 331,801 331,415
305,971 305,905 315,017 312,680
301,738
350,000 298,730
281,512
300,000
250,000
200,000
150,000
100,000
50,000
0
Month

11
STATISTICAL REPORT 2016

Number of hospital visits of out-patients in 2016, classified by age and gender


Gender
Age Total
Male Female
under 7 day 909 821 1,730 0.06
7-27 day 4,059 3,374 7,433 0.25
28 day - under 1 year 17,330 14,631 31,961 1.06
1-14 year 103,067 80,437 183,504 6.10
15-24 year 64,289 115,983 180,272 5.99
25-44 year 161,139 445,348 606,487 20.16
45-64 year 359,967 732,060 1,092,027 36.30
65 year and over 373,966 531,248 905,214 30.09
Total 1,084,726 1,923,902 3,008,628 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

Percentage of hospital visits of out-patients in 2016, classified by age

45-64 year
(36.30)%

25-44 year
65 year and over
(20.16)%
(30.09)%
15-24 year
1-14 year under 7 day
(5.99)%
(6.10)% (0.06)%
28 day - under 1 year 7-27 day
(1.06)% (0.25)%

12
OUT-PATIENTS IN 2016

Number of clinical services of out-patients in 2016, classified by age and gender

Gender
Age Total
Male Female
under 7 day 1,155 1,050 2,205 0.06
7-27 day 5,415 4,509 9,924 0.26
28 day - under 1 year 19,727 16,648 36,375 0.95
1-14 year 119,192 93,230 212,422 5.56
15-24 year 77,620 136,857 214,477 5.62
25-44 year 201,806 540,770 742,576 19.45
45-64 year 475,818 930,618 1,406,436 36.83
65 year and over 496,348 697,913 1,194,261 31.27
Total 1,397,081 2,421,595 3,818,676 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

Percentage of clinical services of out-patients in 2016, classified by age


45-64 year
(36.83%)

25-44 year 65 year and over


(19.45%) (31.27%)
15-24 year under 7 day
(5.62%) 1-14 year (0.06%)
(5.56%) 7-27 day
28 day - under 1 year (0.26%)
(0.95%)

13
14
Number of clinical services of out-patients in 2016, classified by clinic codes including subclinic codes

Month
Clinic Total
January February March April May June July August September October November December
STATISTICAL REPORT 2016

Office hours
Medicine 35,017 35,080 40,920 32,075 36,405 35,015 31,444 40,559 38,048 35,121 37,632 35,367 432,683
Surgery 22,936 22,803 26,225 21,324 22,043 24,445 21,490 25,293 24,032 22,799 24,695 22,542 280,627
Ophthalmology 12,319 12,999 15,069 12,250 11,737 12,872 9,480 13,206 13,060 11,555 13,599 10,975 149,121
Orthopaedic Surgery 10,404 10,976 12,924 10,134 11,080 12,767 10,572 12,938 12,227 11,135 12,492 11,467 139,116
Radiology 10,142 10,128 11,479 7,882 8,779 9,877 8,513 11,231 10,057 9,315 10,157 9,356 116,916
Gynecology 8,154 8,825 10,442 8,065 8,761 9,086 8,649 10,857 9,912 8,656 9,327 8,311 109,045
Pediatrics 8,704 8,867 9,931 7,565 8,195 9,032 7,736 9,782 9,412 9,024 9,030 8,359 105,637
Rehabilitation Medicine 5,953 6,106 7,763 5,591 6,851 9,986 8,027 9,954 9,465 9,035 9,808 8,636 97,175
Preventive and Social Medicine 4,072 5,029 5,586 4,105 11,582 13,235 7,632 16,520 11,217 5,749 5,896 4,682 95,305
Otorhinolaryngology 7,558 7,875 8,525 6,580 7,962 7,579 6,723 8,237 8,182 7,076 7,901 7,931 92,129
Dermatology 5,674 5,946 6,523 5,904 5,932 6,293 5,294 6,503 6,374 6,015 6,461 6,234 73,153
Obstetrics 5,660 5,954 6,788 5,382 5,875 5,492 5,425 6,142 5,853 5,308 5,785 5,346 69,010
Social Security 3,882 3,985 4,437 3,608 3,842 4,100 3,896 4,388 4,306 4,135 4,246 4,019 48,844
Psychiatry 3,750 3,718 4,224 3,721 3,812 4,147 3,172 4,261 3,642 4,378 4,197 3,676 46,698
Dental 2,471 2,595 2,988 2,405 2,585 2,613 2,171 2,772 2,536 2,559 2,616 2,263 30,574
Her Majesty Cardiac Center 1,923 2,041 2,324 1,789 1,819 2,132 1,922 2,243 2,249 2,096 2,301 2,176 25,015
Anesthesiology 897 954 1,159 894 910 1,030 919 1,042 984 965 1,011 987 11,752
Others 3,310 3,267 3,733 3,409 3,864 4,206 3,931 3,995 4,039 3,900 3,759 3,419 44,832
Total in office hours 152,826 157,148 181,040 142,683 162,034 173,907 146,996 189,923 175,595 158,821 170,913 155,746 1,967,632
Number of clinical services of out-patients in 2016, classified by clinic codes including subclinic codes (Cont.)

Month
Clinic Total
January February March April May June July August September October November December
24 hours
Trauma 5,669 5,432 5,792 5,442 5,974 5,851 5,415 5,443 5,329 5,505 5,952 5,693 67,497
Emergency Room (120) 1,057 1,049 1,151 1,048 1,059 1,006 1,091 1,125 1,182 1,203 1,122 1,101 13,194
Emergency Room (122) 7,201 7,229 6,961 6,456 6,737 6,312 7,620 7,392 7,158 6,921 6,986 7,197 84,170
Emergency Room (126) 1,518 1,467 1,476 1,439 1,503 1,480 1,487 1,609 1,649 1,662 1,628 1,562 18,480
Observation Room (Pava) 22 8 20 17 10 18 7 35 44 54 35 35 305
Lab Clinic 32,675 31,647 38,000 30,636 33,905 33,492 29,126 35,872 33,561 32,399 34,359 32,255 397,927
Unclassified 16,568 16,033 19,123 15,040 17,025 16,189 15,366 18,303 16,798 15,805 16,976 15,888 199,114
Total in 24 hours 64,710 62,865 72,523 60,078 66,213 64,348 60,112 69,779 65,721 63,549 67,058 63,731 780,687

Data source: Siriraj information technology department


Date: 19 June 2017

15
OUT-PATIENTS IN 2016
16
Number of clinical services of out-patients in 2016, classified by clinic codes including subclinic codes (Cont.)

Month
Clinic Total
January February March April May June July August September October November December
STATISTICAL REPORT 2016

Special clinic (Out of office hours)


Medicine 25,180 23,958 28,257 22,389 25,468 26,767 25,982 27,700 26,299 26,495 27,516 24,345 310,356
Surgery 7,223 7,214 8,267 6,679 7,271 7,869 7,830 7,650 7,405 7,476 8,504 7,344 90,732
Obstetrics 6,877 6,851 7,373 6,798 7,345 8,305 7,970 7,947 7,813 7,507 7,818 6,893 89,497
Radiology 7,174 7,055 7,533 5,725 6,804 7,373 7,295 8,165 7,910 6,809 7,126 6,425 85,394
Orthopaedic Surgery 6,831 6,882 7,232 6,421 6,742 7,154 7,307 6,941 6,984 6,827 7,120 6,243 82,684
Ophthalmology 5,225 5,439 5,922 5,086 5,113 6,038 5,820 5,918 5,439 5,475 5,219 5,326 66,020
Pediatrics 3,956 3,836 3,917 3,287 3,655 4,304 3,694 4,407 3,968 3,726 3,881 3,430 46,061
Dermatology 3,863 3,684 3,689 3,470 3,500 4,136 3,533 4,071 3,997 3,830 3,986 3,148 44,907
Otorhinolaryngology 2,864 2,727 3,037 2,274 2,486 3,032 2,587 2,962 2,759 2,776 2,763 2,439 32,706
Preventive and Social Medicine 2,935 3,037 2,748 2,100 2,490 2,580 2,291 2,755 2,289 2,499 2,631 2,210 30,565
Rehabilitation Medicine 1,636 1,623 1,879 1,734 1,585 1,877 2,067 1,831 1,857 1,875 1,902 1,536 21,402
Dental 1,589 1,650 1,804 1,423 1,523 1,750 1,704 1,647 1,684 1,408 1,523 1,313 19,018
Psychiatry 1,344 1,207 1,411 1,365 1,309 1,305 1,337 1,379 1,404 1,415 1,433 1,229 16,138
lab clinic 11,706 10,702 11,316 9,974 11,443 11,140 12,151 10,841 10,629 12,137 11,954 10,303 134,296
Unclassified 32 27 34 26 36 52 54 72 48 55 68 77 581
Total in Special clinic 88,435 85,892 94,419 78,751 86,770 93,682 91,622 94,286 90,485 90,310 93,444 82,261 1,070,357
Grand Total 305,971 305,905 347,982 281,512 315,017 331,937 298,730 353,988 331,801 312,680 331,415 301,738 3,818,676

Data source: Siriraj information technology department


Date: 19 June 2017
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients in 2016, classified by Health insurance

Health insurance Number of visit


Own-paid 1,147,785 38.15
Welfare commissioner 995,936 33.10
Universal Coverage 512,033 17.02
Social Security 244,326 8.12
Bangkok Government Officer 97,898 3.25
State Enterprises 4,625 0.15
Private Insurance 4,479 0.15
Health Insurance covered by employer 781 0.03
Other 765 0.03
Total 3,008,628 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

Percentege of hospital visits in 2016, classified by Health insurance


Private Insurance (0.15%) Health Insurance covered
Bangkok Government by employer (0.03%)
Officer (3.25%) State Enterprises (0.15%)
Social Security (8.12%) Other (0.03%)
Universal Coverage Own-paid
(17.02%) (38.15%)

Welfare commissioner
(33.10%)

17
STATISTICAL REPORT 2016

Number of hospital visits of out-patients in 2016, classified by regions and gender

Gender
Regions Total
Male Female
Bangkok 591,312 1,064,069 1,655,381 55.02
Central 353,277 637,443 990,720 32.93
South 36,572 54,942 91,514 3.04
Northeast 32,852 55,914 88,766 2.95
North 30,001 48,002 78,003 2.59
East 30,023 47,603 77,626 2.58
Unknow 10,689 15,929 26,618 0.88
Total 1,084,726 1,923,902 3,008,628 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

18
OUT-PATIENTS IN 2016

Percentage of hospital visits of out-patients in 2016, classified by regions

North
2.59%

Northeast
2.95%

Central
32.93%
East
2.58%

Bangkok
55.02%

South
3.04%

19
STATISTICAL REPORT 2016

Number of hospital visits of out-patients residing in Bangkok in 2016


Classified by districts
Number Percentage (%)
Districts
Male Female Total Male Female Total
Bang Bon 12,896 24,620 37,516 0.78 1.49 2.27
Bang Kapi 5,181 9,781 14,962 0.31 0.59 0.90
Bang Khae 41,029 73,134 114,163 2.48 4.42 6.90
Bang Khen 5,590 9,959 15,549 0.34 0.60 0.94
Bang Kho Laem 4,515 8,349 12,864 0.27 0.50 0.78
Bang Khun Thian 13,875 26,263 40,138 0.84 1.59 2.42
Bang Na 3,701 5,292 8,993 0.22 0.32 0.54
Bang Phlat 36,349 62,646 98,995 2.20 3.78 5.98
Bang Rak 2,960 4,437 7,397 0.18 0.27 0.45
Bang Sue 8,668 18,165 26,833 0.52 1.10 1.62
Bangkok Noi 89,414 166,930 256,344 5.40 10.08 15.49
Bangkok Yai 35,351 64,107 99,458 2.14 3.87 6.01
Bueng Kum 4,263 6,981 11,244 0.26 0.42 0.68
Chatuchak 9,145 16,226 25,371 0.55 0.98 1.53
Chom Thong 20,358 38,351 58,709 1.23 2.32 3.55
Din Daeng 3,653 6,834 10,487 0.22 0.41 0.63
Don Mueang 3,451 5,887 9,338 0.21 0.36 0.56
Dusit 5,591 11,170 16,761 0.34 0.67 1.01
Huai Khwang 3,111 5,942 9,053 0.19 0.36 0.55
Khan Na Yao 3,273 5,177 8,450 0.20 0.31 0.51
Khlong Sam Wa 805 1,665 2,470 0.05 0.10 0.15
Khlong San 15,501 27,295 42,796 0.94 1.65 2.59
Khlong Toei 3,184 4,530 7,714 0.19 0.27 0.47
Lak Si 3,659 6,356 10,015 0.22 0.38 0.60
Lat Krabang 2,258 3,599 5,857 0.14 0.22 0.35
Lat Phrao 4,889 8,412 13,301 0.30 0.51 0.80
Min Buri 2,061 3,580 5,641 0.12 0.22 0.34
Nong Chok 995 1,837 2,832 0.06 0.11 0.17

20
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients residing in Bangkok in 2016


Classified by districts (cont.)
Number Percentage (%)
Districts
Male Female Total Male Female Total
Nong Khaem 20,943 39,663 60,606 1.27 2.40 3.66
Pathum Wan 2,361 3,445 5,806 0.14 0.21 0.35
Phasi Charoen 42,794 83,351 126,145 2.59 5.04 7.62
Phaya Thai 3,938 6,953 10,891 0.24 0.42 0.66
Phra Khanong 3,350 6,136 9,486 0.20 0.37 0.57
Phra Nakhon 12,378 20,996 33,374 0.75 1.27 2.02
Pom Prap Sattru Phai 5,338 7,796 13,134 0.32 0.47 0.79
Prawet 4,061 6,131 10,192 0.25 0.37 0.62
Rat Burana 8,609 15,802 24,411 0.52 0.95 1.47
Ratchathewi 2,926 4,820 7,746 0.18 0.29 0.47
Sai Mai 1,308 2,798 4,106 0.08 0.17 0.25
Samphanthawong 2,858 3,722 6,580 0.17 0.22 0.40
Saphan Sung 3,378 6,155 9,533 0.20 0.37 0.58
Sathon 4,522 7,120 11,642 0.27 0.43 0.70
Suan Luang 3,588 5,026 8,614 0.22 0.30 0.52
Taling Chan 55,888 96,535 152,423 3.38 5.83 9.21
Thawi Watthana 22,439 40,632 63,071 1.36 2.45 3.81
Thon Buri 23,316 43,157 66,473 1.41 2.61 4.02
Thung Khru 9,698 16,995 26,693 0.59 1.03 1.61
Vadhana 2,786 4,265 7,051 0.17 0.26 0.43
Wang Thonglang 4,051 6,686 10,737 0.24 0.40 0.65
Yan Nawa 3,794 6,394 10,188 0.23 0.39 0.62
Unclassified 1,262 1,966 3,228 0.08 0.12 0.20
Total 591,312 1,064,069 1,655,381 35.72 64.28 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

21
22
Percentage of hospital visits of out-patients residing in Bangkok in 2016, classified by districts
STATISTICAL REPORT 2016

Don Mueang
0.56
Sai Mai 0.25
Lak Si Khlong Sam Wa
0.60 Bang Khen 0.94 0.15 Nong Chok
0.17
Chatuchak Lat Phrao 27
21 0.80
1.53 26 Min Buri
Thawi Watthana Taling Chan 8 0.34
20 22 25 Saphan
9.21 23 Bang
3.81 7 24 Sung
15 14 19 Kapi 0.90 Lat Krabang
13 18 Suan Luang 0.58 0.35
6 17
Bang Khae 5 11 12 16 0.52
Nong 4 10
6.90 Prawet
Khaem 3 28
2 9 0.62
3.66 1 Bang Na 0.54
Bang Bon
2.27 Thung
Khru
Bang Khun Thian
1.61 1. Rat Burana 1.47 8. Bang Phlat 5.98 15. Phra Nakhon 2.02 22. Phaya Thai 0.66
2.42
2. Chom Thong 3.55 9. Yan Nawa 0.62 16. Khlong Toei 0.47 23. Din Daeng 0.63
3. Bang Kho Laem 0.78 10. Sathon 0.70 17. Vadhana 0.43 24. Huai Khwang 0.55
4. Thon Buri 4.02 11. Khlong San 2.59 18. Pathum Wan 0.35 25. Wang Thonglang 0.65
5. Phasi Charoen 7.62 12. Bang Rak 0.45 19. Ratchathewi 0.47 26. Bueng Kum 0.68
6. Bangkok Noi 15.49 13. Samphanthawong 0.40 20. Dusit 1.01 27. Khan Na Yao 0.51
7. Bangkok Yai 6.01 14. Pom Prap Sattru Phai 0.79 21. Bang Sue 1.62 28. Phra Khanong 0.57
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients residing in central Thailand in 2016


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Ang Thong 2,895 4,621 7,516 0.29 0.47 0.76
Chai Nat 3,956 6,334 10,290 0.40 0.64 1.04
Kanchanaburi 16,438 28,171 44,609 1.66 2.84 4.50
Lop Buri 4,192 6,969 11,161 0.42 0.70 1.13
Nakhon Nayok 1,644 2,160 3,804 0.17 0.22 0.38
Nakhon Pathom 56,742 104,184 160,926 5.73 10.52 16.24
Nonthaburi 116,063 224,945 341,008 11.72 22.71 34.42
Pathum Thani 15,380 25,654 41,034 1.55 2.59 4.14
Phetchaburi 12,105 21,154 33,259 1.22 2.14 3.36
Phra Nakhon Si Ayutthaya 8,038 13,496 21,534 0.81 1.36 2.17
Prachuap Khiri Khan 9,141 14,446 23,587 0.92 1.46 2.38
Ratchaburi 22,706 34,919 57,625 2.29 3.52 5.82
Samut Prakan 27,103 48,324 75,427 2.74 4.88 7.61
Samut Sakhon 22,897 43,209 66,106 2.31 4.36 6.67
Samut Songkhram 8,253 14,146 22,399 0.83 1.43 2.26
Saraburi 3,979 5,930 9,909 0.40 0.60 1.00
Sing Buri 3,167 6,050 9,217 0.32 0.61 0.93
Suphan Buri 18,578 32,731 51,309 1.88 3.30 5.18
Total 353,277 637,443 990,720 35.66 64.34 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

23
STATISTICAL REPORT 2016

Percentage of hospital visits of out-patients residing in central Thailand in 2016


Classified by provinces

Chai Nat Lopburi


1.04 1.13
1
Suphanburi
2 Saraburi
5.18
Kanchanaburi 1.00
3
4.50 7
6
4 5

Ratchaburi 9 10
5.82 8
1. Ang Thong 0.76
Phetchaburi 2. Sing Buri 0.93
3.36 3. Phra Nakhon Si Ayutthaya 2.17
4. Nakhon Pathom 16.24
Prachuap 5. Nonthaburi 34.42
Khiri Khan 6. Pathum Thani 4.14
2.38 7. Nakhon Nayok 0.38
8. Samut Songkhram 2.26
9. Samut Sakhon 6.67
10. Samut Prakan 7.61

24
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients residing in northern Thailand in 2016


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Chiang Mai 1,265 2,122 3,387 1.62 2.72 4.34
Chiang Rai 1,481 2,432 3,913 1.90 3.12 5.02
Kamphaeng Phet 2,639 3,628 6,267 3.38 4.65 8.03
Lampang 829 1,685 2,514 1.06 2.16 3.22
Lamphun 221 571 792 0.28 0.73 1.02
Mae Hong Son 108 130 238 0.14 0.17 0.31
Nakhon Sawan 7,137 10,286 17,423 9.15 13.19 22.34
Nan 1,014 1,885 2,899 1.30 2.42 3.72
Phayao 586 1,256 1,842 0.75 1.61 2.36
Phetchabun 4,120 6,416 10,536 5.28 8.23 13.51
Phichit 2,243 3,923 6,166 2.88 5.03 7.90
Phitsanulok 1,848 2,848 4,696 2.37 3.65 6.02
Phrae 875 1,875 2,750 1.12 2.40 3.53
Sukhothai 1,399 2,105 3,504 1.79 2.70 4.49
Tak 987 1,574 2,561 1.27 2.02 3.28
Uthai Thani 1,953 3,125 5,078 2.50 4.01 6.51
Uttaradit 1,296 2,141 3,437 1.66 2.74 4.41
Total 30,001 48,002 78,003 38.46 61.54 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

25
STATISTICAL REPORT 2016

Percentage of hospital visits of out-patients residing in northern Thailand in 2016


Classified by provinces

Chiang Rai
5.02
Mae Hong Phayao
Son 2.36 Nan
0.31 Chiang Mai 3.72
Lampang
4.34
Lamphun 3.22 Phrae
1.02 3.53
Uttaradit
4.41
Sukhothai
Tak 4.49 Phitsanulok
3.28 6.02
Kamphaeng
Phichit Phetchabun
Phet
7.90 13.51
8.03
Nakhon Sawan
22.34
Uthai Thani
6.51

26
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients residing in northeastern Thailand in 2016


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Amnat Charoen 525 1,097 1,622 0.59 1.24 1.83
Buengkan 268 357 625 0.30 0.40 0.70
Buri Ram 3,158 5,627 8,785 3.56 6.34 9.90
Chaiyaphum 1,876 3,604 5,480 2.11 4.06 6.17
Kalasin 700 1,579 2,279 0.79 1.78 2.57
Khon Kaen 1,630 2,915 4,545 1.84 3.28 5.12
Loei 820 1,457 2,277 0.92 1.64 2.57
Maha Sarakham 973 2,687 3,660 1.10 3.03 4.12
Mukdahan 440 757 1,197 0.50 0.85 1.35
Nakhon Phanom 1,191 1,557 2,748 1.34 1.75 3.10
Nakhon Ratchasima 6,141 9,367 15,508 6.92 10.55 17.47
Nong Bua Lam Phu 384 502 886 0.43 0.57 1.00
Nong Khai 687 943 1,630 0.77 1.06 1.84
Roi Et 2,119 3,863 5,982 2.39 4.35 6.74
Sakon Nakhon 1,292 1,998 3,290 1.46 2.25 3.71
Si Sa Ket 2,516 4,537 7,053 2.83 5.11 7.95
Surin 3,553 5,223 8,776 4.00 5.88 9.89
Ubon Ratchathani 2,290 4,118 6,408 2.58 4.64 7.22
Udon Thani 1,609 2,177 3,786 1.81 2.45 4.27
Yasothon 680 1,549 2,229 0.77 1.75 2.51
Total 32,852 55,914 88,766 37.01 62.99 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

27
STATISTICAL REPORT 2016

Percentage of hospital visits of out-patients residing in northeastern Thailand in 2016


Classified by provinces

Nong Khai 1.84


Buengkan 0.70

Nakhon
Loei Nong Bua Udon Thani Sakon Nakhon Phanom
2.57 Lam Phu 4.27 3.71 3.10
1.00
Kalasin Mukdahan
Khon Kaen 1.35
2.57
5.12 Maha
Chaiyaphum Yasothon Amnat
Sarakham Roi Et
6.17 2.51 Charoen 1.83
4.12 6.74
Ubon
Ratchathani
Nakhon Ratchasima Si Sa Ket
Surin 4.27
17.47 Buri Ram 7.95
9.89
9.90

28
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients residing in eastern Thailand in 2016


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Chachoengsao 4,827 7,905 12,732 6.22 10.18 16.40
Chanthaburi 3,234 4,674 7,908 4.17 6.02 10.19
Chon Buri 11,141 18,481 29,622 14.35 23.81 38.16
Prachin Buri 2,690 3,911 6,601 3.47 5.04 8.50
Rayong 4,641 6,993 11,634 5.98 9.01 14.99
Sa Kaeo 1,714 2,984 4,698 2.21 3.84 6.05
Trat 1,776 2,655 4,431 2.29 3.42 5.71
Total 30,023 47,603 77,626 38.68 61.32 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

29
STATISTICAL REPORT 2016

Percentage of hospital visits of out-patients residing in eastern Thailand in 2016


Classified by provinces

Prachinburi
8.50 Sa Kaeo
6.05
Chachoengsao
16.40

Chonburi
38.16
Chanthaburi
Rayong
10.19
14.99

Trat
5.71

30
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients residing in southern Thailand in 2016


Classified by provinces

Number Percentage
Provinces
Male Female Total Male Female Total
Chumphon 9,934 15,610 25,544 10.86 17.06 27.91
Krabi 1,527 2,055 3,582 1.67 2.25 3.91
Nakhon Si Thammarat 6,438 9,720 16,158 7.03 10.62 17.66
Narathiwat 724 719 1,443 0.79 0.79 1.58
Pattani 398 540 938 0.43 0.59 1.02
Phangnga 1,037 1,847 2,884 1.13 2.02 3.15
Phatthalung 876 1,445 2,321 0.96 1.58 2.54
Phuket 1,974 2,560 4,534 2.16 2.80 4.95
Ranong 2,304 3,055 5,359 2.52 3.34 5.86
Satun 241 246 487 0.26 0.27 0.53
Songkhla 1,808 2,609 4,417 1.98 2.85 4.83
Surat Thani 6,938 10,872 17,810 7.58 11.88 19.46
Trang 1,902 2,925 4,827 2.08 3.20 5.27
Yala 471 739 1,210 0.51 0.81 1.32
Total 36,572 54,942 91,514 39.96 60.04 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

31
STATISTICAL REPORT 2016

Percentage of hospital visits of out-patients residing in southern Thailand in 2016


Classified by provinces

Chumphon
27.91

Ranong
5.86

Surat Thani
19.46
Phangnga
Nakhon Si
3.15
Krabi Thammarat
3.91 17.66
Phuket
4.95 Trang Phatthalung
5.27 2.54

Satun Songkhla
Pattani 1.02
0.53 4.83
Yala Narathiwat
1.32 1.58

32
OUT-PATIENTS IN 2016

Number of hospital visits of out-patients in 2016, classified by nationality

Nationality Number of visit Percentage (%)


Thai 2,940,764 97.74
Chinese 13,302 0.44
Cambodian 10,077 0.33
Burmese 8,914 0.30
Laotian 4,568 0.15
Indian 1,986 0.07
American 945 0.03
Pakistani 735 0.02
British 668 0.02
Philippine 584 0.02
Bangladeshi 491 0.02
Vietnamese 422 0.01
German 310 0.01
Japanese 272 0.01
Australian 203 0.01
French 191 0.01
Other 2,169 0.07
Unknow 22,027 0.73
Total 3,008,628 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

33
STATISTICAL REPORT 2016

Top ten diagnoses of out-patients in 2016

ICD-10 Description Number


I10-I15 Hypertensive diseases 421,089
C00-C97 Malignant neoplasms 395,849
E70-E90 Metabolic disorders 345,390
E10-E14 Diabetes mellitus 262,216
M00-M25 Arthropathies 147,348
N17-N19 Renal failure 136,434
M40-M54 Dorsopathies 119,892
M60-M79 Soft tissue disorders 117,210
I30-I52 Other forms of heart disease 98,669
N80-N98 Noninflammatory disorders of female genital tract 92,079
other 2542212
all ทั้งหมด a-u 4678388

Top ten diagnoses of out-patients in 2016

Other (54.34%)

I10-I15 (9.00%)

C00-C97 (8.46%)

N80-N98 (1.97%) E70-E90 (7.38%)


I30-I52 (2.11%)
M60-M79 (2.51%) E10-E14 (5.60%)
M40-M54 (2.56%) M00-M25 (3.15%)
N17-N19(2.92%)

34
OUT-PATIENTS IN 2016

Top ten external causes of out-patients in 2016

ICD-10 Description Number


W00-W19 Falls 12,017
W20-W49 Exposure to inanimate mechanical forces 7,301
V20-V29 Motorcycle rider injured in transport accident 4,808
W50-W64 Exposure to animate mechanical forces 4,377
Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use 4,019
Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use 3,347
Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of 2,618
later complication, without mention of misadventure at the time of the procedure
X58-X59 Accidental exposure to other and unspecified factors 2,460
X85-Y09 Assault 2,023
Y85-Y89 Sequelae of external causes of morbidity and mortality 1,230

Other Top ten external causes of out-patients in 2016 6,223


ALL ทั้งหมด v-y 50423

W20-W49 (14.48%)
W00-W19 (23.83%) V20-V29 (9.54%)

W50-W64 (8.68%)

Y70-Y82 (7.97%)
Other (12.34%)
Y40-Y59 (6.64%)
Y85-Y89 (2.44%)
X85-Y09 (4.01%) Y83-Y84 (5.19%)
X58-X59 (4.88%)

35
STATISTICAL REPORT 2016

Health problems of out-patients in 2016

ICD-10 Description Number


Z40-Z54 Persons encountering health services for specific procedures and health care 334,181
Z00-Z13 Persons encountering health services for examination and investigation 298,663
Z80-Z99 Persons with potential health hazards related to family and personal history and 256,156
certain conditions influencing health status
Z20-Z29 Persons with potential health hazards related to communicable diseases 139,333
Z30-Z39 Persons encountering health services in circumstances related to reproduction 94,999
Z70-Z76 Persons encountering health services in other circumstances 34,951
Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial 924
circumstances

all ทั้งหมด z 1159207


Health problems of out-patients in 2016

Z00-Z13
(25.76%)

Z80-Z99
(22.10%)

Z40-Z54
(28.83%)
Z20-Z29
Z55-Z65 Z30-Z39 (12.02%)
(0.08%) Z70-Z76 (8.20%)
(3.02%)

36
IN-PATIENTS
IN 2016
.
Number of in-patients in each department in 2016, classified monthly

Month
Departmant Total
January February March April May June July August September October November December
Obstetrics - Gynecology 1,851 1,631 1,875 1,850 1,886 1,750 1,816 1,925 1,940 1,939 1,804 1,931 22,198
Surgery 1,542 1,409 1,567 1,479 1,500 1,646 1,603 1,611 1,610 1,583 1,542 1,608 18,700
Medicine 1,288 1,221 1,393 1,255 1,256 1,305 1,261 1,354 1,297 1,251 1,335 1,341 15,557
Pediatrics 669 688 732 611 668 666 690 732 703 706 682 723 8,270
Orthopaedic Surgery 388 400 434 394 410 449 417 419 408 407 432 467 5,025
Ophthalmology 350 354 435 358 284 372 321 372 352 375 395 377 4,345
4 345
Otorhinolaryngology 263 264 308 237 263 307 258 288 263 279 271 286 3,287
Her Majesty Cardiac Center 267 273 281 232 244 316 273 254 303 266 295 243 3,247
Radiology 89 90 107 78 76 100 91 94 105 81 89 90 1,090
Psychiatry 33 30 45 33 34 47 26 31 37 28 28 29 401
Rehabilitation Medicine 18 26 26 24 25 28 29 31 28 29 22 32 318
Emergency Medicine 13 12 11 14 13 13 15 23 18 14 18 11 175
Total 6,771 6,398 7,214 6,565 6,659 6,999 6,800 7,134 7,064 6,958 6,913 7,138 82,613

Data source: Siriraj information technology department


Date: 19 June 2017

39
IN-PATIENTS IN 2016
40
Percentage of in-patients in each department in 2016
STATISTICAL REPORT 2016

Surgery (22.64%) Medicine (18.83%)

Pediatrics (10.01%)

Obstetrics - Gynecology
(26.87%) Orthopaedic Surgery (6.08%)
Ophthalmology (5.26%)
Emergency Medicine (0.21%)
Rehabilitation Medicine (0.38%) Otorhinolaryngology (3.98%)
Psychiatry (0.49%) Her Majesty Cardiac Center
Radiology (1.32%) (3.93%)
IN-PATIENTS IN 2016

Number of in-patients in 2016, classified by Health insurance

Health insurance Number


Universal Coverage 35,975
Welfare commissioner 20,856
Own-paid 15,531
Social Security 4,259
State Enterprise 2,082
Bangkok Government Officer 1,788
Health insurance covered by employer 272
Private insurance 107
Other 1,743
Total 82,613
Data source : Siriraj information technology department
Date : 19 June 2017

Percentage of in-patients in 2016, classified by Health insurance

Bangkok Government Health insurance covered


Officer (2.16%) by employer (0.33%)
State Enterprise (2.52%)
Private insurance (0.13%)
Social Security (5.16%)
Other (2.11%)

Own-paid (18.80%)

Universal Coverage
(43.55%)

Welfare commissioner
(25.25%)

41
STATISTICAL REPORT 2016

Number of in-patients in 2016, classified by age and gender

Gender
Age Total
Male Female
under 7 day 3,567 3,602 7,169
7-27 day 580 423 1,003
28 day - under 1 year 939 687 1,626
1-14 year 4,869 3,632 8,501
15-24 year 1,612 3,737 5,349
25-44 year 3,498 13,356 16,854
45-64 year 9,671 11,879 21,550
65 year and over 9,809 10,752 20,561
Total 34,545 48,068 82,613

Data source: Siriraj information technology department


Date: 19 June 2017

Percentage of in-patients in 2016, classified by age

45-64 year
(26.09%)

65 year and over


25-44 year
(24.89%)
(20.40%)

15-24 year under 7 day


(6.47%) 1-14 year 7-27 day (8.68%)
(10.29%) (1.21%)
28 day - under 1 year
(1.97%)

42
Number of in-patients in each department in 2016, classified by length of stay

Length of stay (days)


Department
Under 7 7-14 15-21 22 - 30 Over 30 Total
Obstetrics - Gynecology 20,512 1,496 96 44 50 22,198
Surgery 13,377 3,729 723 375 496 18,700
Medicine 10,047 3,047 1,083 537 843 15,557
Pediatrics 6,075 1,247 310 215 423 8,270
Orthopaedic Surgery 3,505 1,006 261 93 160 5,025
Ophthalmology 4,027 196 48 38 36 4,345
Otorhinolaryngology 2,898 270 72 16 31 3,287
Her Majesty Cardiac Center 3,203 36 6 2 0 3,247
Radiology 882 90 63 28 27 1,090
Psychiatry 202 97 46 30 26 401
Rehabilitation Medicine 14 61 87 90 66 318
Emergency Medicine 120 44 8 2 1 175
Total 64,862 11,319 2,803 1,470 2,159 82,613

Data source : Siriraj information technology department


Date: 19 June 2017

43
IN-PATIENTS IN 2016
44
Percentage of in-patients in 2016 , classified by length of stay
STATISTICAL REPORT 2016

22 - 30 day
(1.78%)
15-21
15 21 day
d Over 30 day
O d
7-14 day (3.39%) (2.61%)
(13.70%)

Under 7 day
(78.51%)
IN-PATIENTS IN 2016

Bed occupancy rate classified monthly in 2016

Month Bed occupancy rate


January 68.56
February 65.85
March 67.76
April 71.05
May 66.94
June 68.36
July 63.88
August 70.08
September 71.12
October 69.22
November 70.14
December 64.14
Average 68.09

Data source: Nursing department


Date: 19 June 2017

Bed occupancy rate classified monthly in 2016


Percentage
80.00
68.56 71.05 70.08 71.12 69.22 70.14
67.76 66.94 68.36
65.85 63.88 64.14

60.00

40.00

20.00
Month

45
46
Number of in-patients in each department in 2016, classified by discharge types

Discharge types
Department Total
With approval Against advice Escape Transfer Others Death with autopsy Death without autopsy
STATISTICAL REPORT 2016

Obstetrics - Gynecology 21,985 40 1 118 7 6 41 22,198


Surgery 18,065 10 0 290 25 59 251 18,700
Medicine 14,171 40 1 187 45 35 1,078 15,557
Pediatrics 8,112 10 0 46 22 21 59 8,270
Orthopaedic Surgery 4,971 1 0 25 15 2 11 5,025
Ophthalmology 4,316 6 0 14 8 0 1 4,345
Otorhinolaryngology 3,261 3 0 7 6 0 10 3,287
Her Majesty Cardiac Center 3,219 0 0 18 0 1 9 3,247
Radiology 1,058 3 0 13 0 0 16 1,090
Psychiatry 391 10 0 0 0 0 0 401
Rehabilitation Medicine 317 0 0 0 1 0 0 318
Emergency Medicine 57 0 0 2 0 0 116 175
Total 79,923 123 2 720 129 124 1,592 82,613

Data source: Siriraj information technology department


Date: 19 June 2017


Percentage of in-patients in 2016, classified by discharge types

With approval (96.74%)

Death without autopsy (1.93%) Against advice (0.15%)


Death with autopsy (0.15%) Escape (0.002%)
Others (0.16%) Transfer (0.87%)

47
IN-PATIENTS IN 2016
48
Number of births and deliveries of in-patients in 2016, classified monthly
STATISTICAL REPORT 2016

Month
Types Total
January February March April May June July August September October November December
Births 685 601 646 715 693 622 658 729 745 686 658 676 8,114
- Neonate 684 599 643 715 689 622 656 727 741 682 658 671 8,087
- Stillbirth 1 2 3 0 4 0 2 2 4 4 0 5 27
Deliveries 675 588 634 700 682 609 647 715 734 675 644 670 7,973

Data source: Obstretics and Gynecology department


Date: 19 June 2017
IN-PATIENTS IN 2016

Number of in-patients in 2016, classified by regions and gender

Gender
Regions Total
Male Female
Bangkok 12,634 16,890 29,524
Central 11,857 16,370 28,227
Northeast 3,516 5,833 9,349
North 2,043 2,954 4,997
South 1,931 2,476 4,407
East 1,497 1,822 3,319
Unknow 1,067 1,723 2,790
Total 34,545 48,068 82,613

Data source: Siriraj information technology department


Date: 19 June 2017

49
STATISTICAL REPORT 2016

Percentage of in-patients in 2016, classified by regions

North
6.05%

Northeast
11.32%

Central
34.17%
East
4.02%

€ Bangkok
35.74%

South
5.33%

50
IN-PATIENTS IN 2016

Number of in-patients in 2016, classifiled by nationality

Nationalities Number Percentage (%)


Thai 79,389 96.10
Burmese 919 1.11
Laotian 425 0.51
Chinese 359 0.43
Cambodian 311 0.38
Pakistani 34 0.04
Indian 30 0.04
Vietnamese 30 0.04
American 28 0.03
Filipino 27 0.03
British 22 0.03
Japanese 15 0.02
Bangladeshi 10 0.01
Indonesian 9 0.01
Other 85 0.10
Unknow 920 1.11
Total 82,613 100.00

Data source: Siriraj information technology department


Date: 19 June 2017

51
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Number Average
ICD-10 Description
of visits length of stay
C00-C97 Malignant neoplasms 15,889 6.37
P50-P61 Haemorrhagic and haematological disorders of fetus and newborn 3,220 3.85
O60-O75 Complications of labour and delivery 3,219 4.43
D10-D36 Benign neoplasms 2,976 4.78
O30-O48 Maternal care related to the fetus and amniotic cavity and possible 2,969 4.65
delivery problems
I20-I25 Ischaemic heart diseases 2,927 4.12
H25-H28 Disorders of lens 2,327 1.23
I30-I52 Other forms of heart disease 1,630 7.73
M00-M25 Arthropathies 1,592 5.41
P05-P08 Disorders related to length of gestation and fetal growth 1,573 11.90

Others Others 44,291


T ten principal
Top i i l diagnoses
di off in-patients
i i in i 2016

Others (53.61%)

C00-C97 (19.23%)

P50-P61 (3.90%)
P05-P08 (1.90%) O60-O75 (3.90%)
M00-M25 (1.93%)
I30-I52 (1.97%) D10-D36 (3.60%)
H25-H28 (2.82%) O30-O48 (3.59%)
I20-I25 (3.54%)

52
IN-PATIENTS IN 2016

Top ten external causes of in-patients in 2016


Number of
ICD-10 Description
visits
Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use 3,053
Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of 2,545
later complication, without mention of misadventure at the time of the procedure
Y60-Y69 Misadventures to patients during surgical and medical care 1,819
W00-W19 Falls 923
Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere 746
Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use 527
V20-V29 Motorcycle rider injured in transport accident 421
W20-W49 Exposure to inanimate mechanical forces 383
Y85-Y89 Sequelae of external causes of morbidity and mortality 213
X58-X59 Accidental exposure to other and unspecified factors 156

others Others 724


Top ten external causes of in-patients in 2016

Y83-Y84 (22.11%)

Y40-Y59 (26.52%) Y60-Y69 (15.80%)

W00-W19 (8.02%)
Others (6.29%) Y90-Y98 (6.48%)
X58-X59 (1.36%) Y70-Y82 (4.58%)
Y85-Y89 (1.85%) V20-V29 (3.66%)
W20-W49 (3.33%)

53
STATISTICAL REPORT 2016

Top ten operations of in-patients in 2016


Number of
ICD-9-CM Description
operations
74.1 Low cervical cesarean section 3,789
13.71 Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage 2,357
13.41 Phacoemulsification and aspiration of cataract 2,287
66.32 Other bilateral ligation and division of fallopian tubes 1,712
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy 1,706
68.49 Other and unspecified total abdominal hysterectomy 1,190
39.61 Extracorporeal circulation auxiliary to open heart surgery 1,013
39.63 Cardioplegia 992
39.62 Hypothermia (systemic) incidental to open heart surgery 947
65.61 Other removal of both ovaries and tubes at same operative episode 832

Others 62,604
Top ten operations of in-patients in 2016

Others (78.82%)

74.1 (4.77%)
65.61 (1.05%) 13.71 (2.97%)
39.62 (1.19%)
39.63 (1.25%) 13.41 (2.88%)
39.61 (1.28%) 66.32 (2.16%)
68.49 (1.50%) 00.66 (2.15%)

54
IN-PATIENTS IN 2016

Top ten procedures of in-patients in 2016


Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 6,940
89.52 Electrocardiogram 3,434
99.21 Injection of antibiotic 2,709
93.94 Respiratory medication administered by nebulizer 2,643
93.96 Other oxygen enrichment 2,431
99.07 Transfusion of other serum 2,361
96.6 Enteral infusion of concentrated nutritional substances 2,239
87.44 Routine chest x-ray, so described 2,122
38.93 Venous catheterization, not elsewhere classified 2,111
88.72 Diagnostic ultrasound of heart 2,074

Others 67,652
Top ten procedures of in-patients in 2016

Others (69.95%)

99.04 (7.18%)

88.72 (2.14%) 89.52 (3.55%)


38.93 (2.18%) 99.21(2.80%)
87.44 (2.19%) 93.94 (2.73%)
96.6 (2.32%) 93.96 (2.51%)
99.07 (2.44%)

55
STATISTICAL REPORT 2016

Top ten causes of death of in-patients in 2016

ICD-10 Description Number of visit


J18.- Pneumonia, organism unspecified 119
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 71
I63.- Cerebral infarction 58
C34.- Malignant neoplasm of bronchus and lung 51
J15.- Bacterial pneumonia, not elsewhere classified 48
I21.- Acute myocardial infarction 46
C83.- Non-follicular lymphoma 45
J69.- Pneumonitis due to solids and liquids 45
C92.- Myeloid leukaemia 44
C79.- Secondary malignant neoplasm of other and unspecified sites 39

Others
1,150
Top ten causes of death of in-patients in 2016

Others (67.02%)

J18.- (6.93%)
C79.- (2.27%) C22.- (4.14%)
C92.- (2.56%)
I63.- (3.38%)
J69.- (2.62%) C34.- (2.97%)
C83.- (2.62%) J15.- (2.80%)
I21.- (2.68%)

56
IN-PATIENTS IN 2016

Top ten principal diagnoses of in-patients in 2016


Department of Medicine

Number Average
ICD-10 Description
of visits Length of stay
C78.- Secondary malignant neoplasm of respiratory and digestive organs 1,005 4.00
C83.- Non-follicular lymphoma 891 8.86
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 757 4.58
I63.- Cerebral infarction 669 10.87
I21.- Acute myocardial infarction 456 8.73
C18.- Malignant neoplasm of colon 402 2.82
I50.- Heart failure 363 13.61
C34.- Malignant neoplasm of bronchus and lung 300 6.23
J18.- Pneumonia, organism unspecified 293 12.88
N39.- Other disorders of urinary system 283 12.10

Top ten external causes of in-patients in 2016


Department of Medicine
Number
ICD-10 Description
of visits
Y43.- Primarily systemic agents 677
Y95.- Nosocomial condition 505
Y40.- Systemic antibiotics 308
Y44.- Agent primarily affecting blood constituents 214
Y71.- Cardiovascular devices associated with adverse incidents 213
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 192
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 164
Y62.- Failure of sterile precautions during surgical and medical care 135
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 125
complication, without mention of misadventure at the time of the procedure
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 116
patient, or of later complication, without mention of misadventure at the time of the procedure

57
STATISTICAL REPORT 2016

Top ten operations of in-patients in 2016


Department of Medicine
Number of
ICD-9-CM Description
operations
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy 314
37.22 Left heart cardiac catheterization 300
88.56 Coronary arteriography using two catheters 298
00.40 Procedure on single vessel 288
36.07 Insertion of drug-eluting coronary artery stent(s) 250
00.45 Insertion of one vascular stent 146
50.24 Percutaneous ablation of liver lesion or tissue 139
00.24 Intravascular imaging of coronary vessels 121
88.74 Diagnostic ultrasound of digestive system 92
45.13 Other endoscopy of small intestine 90

Top ten procedures of in-patients in 2016


Department of Medicine
Number of
ICD-9-CM Description
procedures
99.25 Injection or infusion of cancer chemotherapeutic substance 4,402
99.04 Transfusion of packed cells 3,000
93.94 Respiratory medication administered by nebulizer 1,929
88.72 Diagnostic ultrasound of heart 1,205
57.94 Insertion of indwelling urinary catheter 1,172
99.05 Transfusion of platelets 1,065
96.6 Enteral infusion of concentrated nutritional substances 1,035
93.12 Other active musculoskeletal exercise 985
89.52 Electrocardiogram 945
93.96 Other oxygen enrichment 934

58
IN-PATIENTS IN 2016

Top ten principal diagnoses of in-patients in 2016


Department of Surgery

Number Average
ICD-10 Description
of visits Length of stay
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 891 3.67
C50.- Malignant neoplasm of breast 761 4.33
K80.- Cholelithiasis 753 3.96
K40.- Inguinal hernia 556 2.34
N40.- Hyperplasia of prostate 480 3.31
K35.- Acute appendicitis 454 3.74
I25.- Chronic ischaemic heart disease 424 10.89
C61.- Malignant neoplasm of prostate 401 5.90
N20.- Calculus of kidney and ureter 349 3.19
C67.- Malignant neoplasm of bladder 341 9.26

Top ten external causes of in-patients in 2016


Department of Surgery
Number
ICD-10 Description
of visits
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of 1,367
the patient, or of later complication, without mention of misadventure at the time of the
procedure
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 880
Y95.- Nosocomial condition 135
Y44.- Agents primarily affecting blood constituents 103
W18.- Other fall on same level 95
V28.- Motorcycle rider injured in noncollision transport accident 64
V23.- Motorcycle rider injured in collision with car, pick-up truck or van 63
Y62.- Failure of sterile precautions during surgical and medical care 57
X99.- Assault by sharp object 48
Y40.- Systemic antibiotics 43

59
STATISTICAL REPORT 2016

Top ten operations of in-patients in 2016


Department of Surgery
Number of
ICD-9-CM Description
operations
39.61 Extracorporeal circulation auxiliary to open heart surgery 795
39.62 Hypothermia (systemic) incidental to open heart surgery 789
39.63 Cardioplegia 789
51.23 Laparoscopic cholecystectomy 682
90.79 Microscopic examination of specimen from lymph node and of lymph, other 594
microscopic examination
40.23 Excision of axillary lymph node 591
59.8 Ureteral catheterization 553
02.05 Insertion of skull plate 485
57.32 Other cystoscopy 468
56.31 Ureteroscopy 445

Top ten procedures of in-patients in 2016


Department of Surgery
Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 2,544
99.07 Transfusion of other serum 1,230
38.93 Venous catheterization, not elsewhere classified 1,072
87.03 Computerized axial tomography of head 988
93.39 Other physical therapy 885
89.62 Central venous pressure monitoring 823
88.01 Computerized axial tomography of abdomen 715
88.72 Diagnostic ultrasound of heart 656
99.05 Transfusion of platelets 650
99.21 Injection of antibiotic 611

60
IN-PATIENTS IN 2016

Top ten principal diagnoses of in-patients in 2016


Department of Obstetrics and Gynecology
Number Average
ICD-10 Description
of visits Length of stay
P59.- Neonatal jaundice from other and unspecified causes 2,934 3.83
O34.- Maternal care for known or suspected abnormality of pelvic organs 1,359 4.63
O80.- Single spontaneous delivery 1,113 3.41
O68.- Labour and delivery complicated by fetal stress [ distress ] 1,018 4.59
D25.- Leiomyoma of uterus 1,007 3.57
O99.- Other maternal diseases classifiable elsewhere but complicating 797 3.57
pregnancy, childbirth and the puerperium
Z38.- Liveborn infants according to place of birth 768 2.59
C56.- Malignant neoplasm of ovary 726 2.98
O60.- Preterm labour and delivery 715 4.53
O65.- Obstructed labour due to maternal pelvic abnormality 712 4.58

Top ten external causes of in-patients in 2016


Department of Obstetrics and Gynecology
Number
ICD-10 Description
of visits
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 232
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 73
patient, or of later complication, without mention of misadventure at the time of the procedure
Y43.- Primarily systemic agents 64
Y45.- Analgesics, antipyretics and anti-inflammatory drugs 11
Y40.- Systemic antibiotics 10
Y44.- Agents primarily affecting blood constituents 10
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 8
Y62.- Failure of sterile precautions during surgical and medical care 8
Y55.- Agents primarily acting on smooth and skeletal muscles and the respiratory system 7
Y73.- Gastroenterology and urology devices associated with adverse incidents 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
Y95.- Nosocomial condition 5

61
STATISTICAL REPORT 2016

Top ten operations of in-patients in 2016


Department of Obstetrics and Gynecology
Number of
ICD-9-CM Description
operations
74.1 Low cervical cesarean section 3,787
66.32 Other bilateral ligation and division of fallopian tubes 1,711
68.49 Other and unspecified total abdominal hysterectomy 1,171
65.61 Other removal of both ovaries and tubes at same operative episode 811
54.59 Other lysis of peritoneal adhesions 444
54.51 Laparoscopic lysis of peritoneal adhesions 429
69.52 Aspiration curettage following delivery or abortion 420
68.41 Laparoscopic total abdominal hysterectomy 411
54.4 Excision or destruction of peritoneal tissue 405
68.29 Other excision or destruction of lesion of uterus 396

Top ten procedures of in-patients in 2016


Department of Obstetrics and Gynecology
Number of
ICD-9-CM Description
procedures
25.91 Lingual frenotomy 2,020
88.78 Diagnostic ultrasound of gravid uterus 1,908
99.25 Injection or infusion of cancer chemotherapeutic substance 1,790
89.06 Consultation, described as limited 1,705
99.24 Injection of other hormone 1,265
99.23 Injection of steroid 726
99.83 Other phototherapy 694
99.04 Transfusion of packed cells 686
75.34 Other fetal monitoring 561
88.76 Diagnostic ultrasound of abdomen and retroperitoneum 398

62
IN-PATIENTS IN 2016

Top ten principal diagnoses of in-patients in 2016


Department of Obstetrics and Gynecology : Obstetric unit (Newborn)

Number Average
ICD-10 Description
of visits Length of stay
P59.- Neonatal jaundice from other and unspecified causes 2,932 3.83
Z38.- Liveborn infants according to place of birth 768 2.59
P07.- Disorders related to short gestation and low birth weight, not elsewhere 615 4.68
classified
Q38.- Other congenital malformations of tongue, mouth and pharynx 477 2.93
P05.- Slow fetal growth and fetal malnutrition 323 4.00
P21.- Birth asphyxia 257 3.91
P20.- Intrauterine hypoxia 250 3.34
P22.- Respiratory distress of newborn 202 4.05
P12.- Birth injury to scalp 171 3.41
P70.- Transitory disorders of carbohydrate metabolism specific to fetus and 158 3.56
newborn

Top ten procedures of in-patients in 2016


Department of Obstetrics and Gynecology : Obstetric unit (Newborn)

Number of
ICD-9-CM Description
procedures
25.91 Lingual frenotomy 2,017
89.06 Consultation, described as limited 844
99.83 Other phototherapy 693
93.96 Other oxygen enrichment 226
93.9 Respiratory therapy 140
87.49 Other chest x-ray 136
99.16 Injection of antidote 85
99.14 Injection or infusion of gamma globulin 60
89.52 Electrocardiogram 45
38.92 Umbilical vein catheterization 22

63
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Pediatrics
Number Average
ICD-10 Description
of visits Length of stay
P07.- Disorders related to short gestation and low birth weight, not elsewhere 494 27.69
classified
C91.- Lymphoid leukaemia 317 13.75
J12.- Viral pneumonia, not elsewhere classified 292 6.47
J18.- Pneumonia, organism unspecified 284 6.11
A09.- Other gastroenteritis and colitis of infectious and unspecified origin 278 3.04
Q21.- Congenital malformations of cardiac septa 275 6.22
P22.- Respiratory distress of newborn 181 4.99
Z38.- Liveborn infants according to place of birth 178 3.55
P59.- Neonatal jaundice from other and unspecified causes 172 3.38
M32.- Systemic lupus erythematosus 149 5.11

Top ten external causes of in-patients in 2016


Department of Pediatrics
Number
ICD-10 Description
of visits
Y43.- Primarily systemic agents 230
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 86
patient, or of later complication, without mention of misadventure at the time of the procedure
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 81
Y62.- Failure of sterile precautions during surgical and medical care 73
Y40.- Systemic antibiotics 57
X58.- Exposure to other specified factors 50
Y95.- Nosocomial condition 45
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 31
complication, without mention of misadventure at the time of the procedure
Y71.- Cardiovascular devices associated with adverse incidents 13
Y44.- Agents primarily affecting blood constituents 12
Y58.- Bacterial vaccines 12

64
IN-PATIENTS IN 2016

Top ten operations of in-patients in 2016


Department of Pediatrics
Number of
ICD-9-CM Description
operations
89.65 Measurement of systemic arterial blood gases 254
89.66 Measurement of mixed venous blood gases 245
37.23 Combined right and left heart cardiac catheterization 244
88.54 Combined right and left heart angiocardiography 223
25.91 Lingual frenotomy 187
39.61 Extracorporeal circulation auxiliary to open heart surgery 182
39.63 Cardioplegia 169
97.23 Replacement of tracheostomy tube 142
39.62 Hypothermia (systemic) incidental to open heart surgery 126
31.41 Tracheoscopy through artificial stoma 84

Top ten procedures of in-patients in 2016


Department of Pediatrics
Number of
ICD-9-CM Description
procedures
99.21 Injection of antibiotic 2,551
87.44 Routine chest x-ray, so described 2,179
89.38 Other nonoperative respiratory measurements 1,746
93.96 Other oxygen enrichment 1,600
93.94 Respiratory medication administered by nebulizer 1,372
89.52 Electrocardiogram 1,094
99.25 Injection or infusion of cancer chemotherapeutic substance 1,060
99.04 Transfusion of packed cells 959
90.39 Microscopic examination of specimen from ear, nose, throat, and larynx ,other microscopic 888
examination
96.6 Enteral infusion of concentrated nutritional substances 830

65
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Otorhinolaryngology
Number Average
ICD-10 Description
of visits Length of stay
J35.- Chronic diseases of tonsils and adenoids 349 2.21
J38.- Diseases of vocal cords and larynx, not elsewhere classified 224 2.40
E04.- Other nontoxic goitre 182 3.07
C73.- Malignant neoplasm of thyroid gland 174 4.60
D14.- Benign neoplasm of middle ear and respiratory system 151 2.43
C32.- Malignant neoplasm of larynx 133 5.41
J39.- Other diseases of upper respiratory tract 124 7.19
H65.- Nonsuppurative otitis media 110 1.75
D11.- Benign neoplasm of major salivary glands 83 5.16
Z43.- Attention to artificial openings 83 1.48

Top ten external causes of in-patients in 2016


Department of Otorhinolaryngology
Number
ICD-10 Description
of visits
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 124
patient, or of later complication, without mention of misadventure at the time of the procedure
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 51
W44.- Foreign body entering into or through eye or natural orifice 44
Y85.- Sequelae of transport accidents 14
Y95.- Nosocomial condition 14
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 8
complication, without mention of misadventure at the time of the procedure
Y87.- Sequelae of intentional self-harm, assault and events of undetermined intent 8
Y40.- Systemic antibiotics 7
Y86.- Sequelae of other accidents 7
Y56.- Topical agents primarily affecting skin and mucous membrane and ophthalmological, 6
otorhinolaryngological and dental drugs

66
IN-PATIENTS IN 2016

Top ten operations of in-patients in 2016


Department of Otorhinolaryngology
Number of
ICD-9-CM Description
operations
97.23 Replacement of tracheostomy tube 247
31.42 Laryngoscopy and other tracheoscopy 232
06.2 Unilateral thyroid lobectomy 214
28.3 Tonsillectomy with adenoidectomy 190
30.09 Other excision or destruction of lesion or tissue of larynx 175
22.2 Intranasal antrotomy 170
06.4 Complete thyroidectomy 153
28.2 Tonsillectomy without adenoidectomy 133
42.23 Other esophagoscopy 127
22.63 Ethmoidectomy 123

Top ten procedures of in-patients in 2016


Department of Otorhinolaryngology
Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 134
96.6 Enteral infusion of concentrated nutritional substances 119
95.41 Audiometry 76
97.32 Removal of nasal packing 45
99.23 Injection of steroid 41
20.94 Injection of tympanum 40
87.03 Computerized axial tomography of head 36
88.41 Arteriography of cerebral arteries 29
39.92 Injection of sclerosing agent into vein 22
99.29 Injection or infusion of other therapeutic or prophylactic substance 20

67
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Ophthalmology

Number Average
ICD-10 Description
of visits Length of stay
H25.- Senile cataract 2,155 1.19
H40.- Glaucoma 268 2.13
H33.- Retinal detachments and breaks 219 2.21
H50.- Other strabismus 200 1.28
H35.- Other retinal disorders 144 1.74
H16.- Keratitis 133 17.50
H04.- Disorders of lacrimal system 130 1.99
H26.- Other cataract 93 1.63
E11.- Type 2 diabetes mellitus 79 2.08
H27.- Other disorders of lens 78 1.71

Top ten external causes of in-patients in 2016


Department of Ophthalmology

Number
ICD-10 Description
of visits
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 125
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 110
patient, or of later complication, without mention of misadventure at the time of the procedure
Y77.- Ophthalmic devices associated with adverse incidents 53
W20.- Struck by thrown, projected or falling object 51
W44.- Foreign body entering into or through eye or natural orifice 14
Y40.- Systemic antibiotics 5
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere 5
W21.- Striking against or struck by sports equipment 4
W24.- Contact with lifting and transmission devices, not elsewhere classified 4
W27.- Contact with nonpowered hand tool 4
X49.- Accidental poisoning by and exposure to other and unspecified chemicals and noxious 4
substances

68
IN-PATIENTS IN 2016

Top ten operations of in-patients in 2016


Department of Ophthalmology

Number of
ICD-9-CM Description
operations
13.71 Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage 2,355
13.41 Phacoemulsification and aspiration of cataract 2,285
14.74 Other mechanical vitrectomy 553
14.9 Other operations on retina, choroid, and posterior chamber 338
14.75 Injection of vitreous substitute 337
14.79 Other operations on vitreous 221
12.64 Trabeculectomy ab externo 177
14.54 Repair of retinal detachment with laser photocoagulation 172
15.3 Operations on two or more extraocular muscles involving temporary detachment from 164
globe, one or both eyes
14.24 Destruction of chorioretinal lesion by laser photocoagulation 161

Top ten procedures of in-patients in 2016


Department of Ophthalmology

Number of
ICD-9-CM Description
procedures
88.91 Magnetic resonance imaging of brain and brain stem 40
14.54 Repair of retinal detachment with laser photocoagulation 37
88.97 Magnetic resonance imaging of other and unspecified sites 35
99.23 Injection of steroid 21
99.28 Injection or infusion of biological response modifier [BRM] as an antineoplastic agent 15
12.79 Other glaucoma procedures 12
12.12 Other iridotomy 7
14.79 Other operations on vitreous 6
99.22 Injection of other anti-infective 5
99.25 Injection or infusion of cancer chemotherapeutic substance 4

69
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Orthopaedic surgery

Number Average
ICD-10 Description
of visits Length of stay
M17.- Gonarthrosis [ arthrosis of knee ] 754 5.69
S72.- Fracture of femur 298 12.99
M48.- Other spondylopathies 260 8.46
M23.- Internal derangement of knee 251 2.98
T84.- Complications of internal orthopaedic prosthetic devices, implants and grafts 214 14.27
C79.- Secondary malignant neoplasm of other and unspecified sites 134 15.47
S52.- Fracture of forearm 134 3.33
M43.- Other deforming dorsopathies 127 7.15
Z47.- Other orthopaedic follow-up care 113 2.53
S82.- Fracture of lower leg, including ankle 111 9.47

Top ten external causes of in-patients in 2016


Department of Orthopaedic surgery
Number
ICD-10 Description
of visits
W01.- Fall on same level from slipping, tripping and stumbling 395
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 295
patient, or of later complication, without mention of misadventure at the time of the procedure
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care 82
Y79.- Orthopaedic devices associated with adverse incidents 73
V23.- Motorcycle rider injured in collision with car, pick-up truck or van 67
X59.- Exposure to unspecified factor 66
V28.- Motorcycle rider injured in noncollision transport accident 52
W10.- Fall on and from stairs and steps 43
Y85.- Sequelae of transport accidents 35
X50.- Overexertion and strenuous or repetitive movements 32

70
IN-PATIENTS IN 2016

Top ten operations of in-patients in 2016


Department of Orthopaedic surgery
Number of
ICD-9-CM Description
operations
81.54 Total knee replacement 733
03.09 Other exploration and decompression of spinal canal 351
81.08 Lumbar and lumbosacral fusion, posterior technique 336
80.26 Arthroscopy, knee 297
83.41 Excision of tendon for graft 218
81.45 Other repair of the cruciate ligaments 206
77.49 Biopsy of bone, other 203
77.79 Excision of bone for graft, other 200
80.51 Excision of intervertebral disc 184
79.15 Closed reduction of fracture with internal fixation, femur 158
83.21 Biopsy of soft tissue 158

Top ten procedures of in-patients in 2016


Department of Orthopaedic surgery
Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 848
84.55 Insertion of bone void filler 800
84.51 Insertion of interbody spinal fusion device 643
81.62 Fusion or refusion of 2-3 vertebrae 478
57.94 Insertion of indwelling urinary catheter 283
84.52 Insertion of recombinant bone morphogenetic protein 199
88.38 Other computerized axial tomography 101
93.53 Application of other cast 99
81.63 Fusion or refusion of 4- 8 vertebrae 91
00.31 Computer assisted surgery with CT/CTA 88

71
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Rehabilitation medicine
Number Average
ICD-10 Description
of visits Length of stay
G81.- Hemiplegia 116 20.66
I63.- Cerebral infarction 57 28.09
G82.- Paraplegia and tetraplegia 56 20.88
I61.- Intracerebral haemorrhage 12 39.17
M62.- Other disorders of muscle 9 17.11
G83.- Other paralytic syndromes 7 40.86
M80.- Osteoporosis with pathological fracture 6 15.83
M48.- Other spondylopathies 5 16.60
M51.- Other intervertebral disc disorders 4 15.50
S72.- Fracture of femur 4 36.00

Top ten external causes of in-patients in 2016


Department of Rehabilitation medicine
Number
ICD-10 Description
of visits
Y89.- Sequelae of other external causes 13
Y57.- Other and unspecified drugs and medicaments 9
W18.- Other fall on same level 8
Y85.- Sequelae of transport accidents 8
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
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 5
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 5
patient, or of later complication, without mention of misadventure at the time of the procedure
Y86.- Sequelae of other accidents 5
Y44.- Agents primarily affecting blood constituents 4
Y52.- Agents primarily affecting the cardiovascular system 3
Y54.- Agents primarily affecting water-balance and mineral and uric acid metabolism 3

72
IN-PATIENTS IN 2016

Top five operations of in-patients in 2016


Department of Rehabilitation medicine
Number of
ICD-9-CM Description
operations
39.74 Endovascular removal of obstruction from head and neck vessel(s) 5
01.24 Other craniotomy 3
81.52 Partial hip replacement 3
88.41 Arteriography of cerebral arteries 3
00.74 Hip bearing surface, metal on polyethylene 2
02.34 Ventricular shunt to abdominal cavity and organs 2
03.09 Other exploration and decompression of spinal canal 2
03.4 Excision or destruction of lesion of spinal cord or spinal meninges 2
03.99 Other operations on spinal cord and spinal canal structures , other 2
77.49 Biopsy of bone , other 2
80.51 Excision of intervertebral disc 2

Top ten procedures of in-patients in 2016


Department of Rehabilitation medicine
Number of
ICD-9-CM Description
procedures
93.22 Ambulation and gait training 289
93.81 Recreation therapy 258
94.49 Other counselling 247
93.12 Other active musculoskeletal exercise 227
93.11 Assisting exercise 180
93.83 Occupational therapy 179
93.13 Resistive exercise 173
93.34 Diathermy 164
93.27 Stretching of muscle or tendon 142
93.35 Other heat therapy 104

73
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Radiology

Number Average
ICD-10 Description
of visits Length of stay
C77.- Secondary and unspecified malignant neoplasm of lymph nodes 208 3.11
C73.- Malignant neoplasm of thyroid gland 179 3.06
C79.- Secondary malignant neoplasm of other and unspecified sites 134 12.75
C11.- Malignant neoplasm of nasopharynx 130 3.87
C53.- Malignant neoplasm of cervix uteri 71 5.90
C02.- Malignant neoplasm of other and unspecified parts of tongue 39 4.59
C78.- Secondary malignant neoplasm of respiratory and digestive organs 34 3.44
C09.- Malignant neoplasm of tonsil 33 7.03
C32.- Malignant neoplasm of larynx 33 5.06
C10.- Malignant neoplasm of oropharynx 21 6.24

Top five external causes of in-patients in 2016


Department of Radiology

Number
ICD-10 Description
of visits
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 7
complication, without mention of misadventure at the time of the procedure
Y95.- Nosocomial condition 6
Y46.- Antiepileptics and antiparkinsonism drugs 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
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 2
Y43.- Primarily systemic agents 2

74
IN-PATIENTS IN 2016

Top five operations of in-patients in 2016


Department of Radiology

Number of
ICD-9-CM Description
operations
92.27 Implantation or insertion of radioactive elements 27
40.11 Biopsy of lymphatic structure 8
31.29 Other permanent tracheostomy 7
55.03 Percutaneous nephrostomy without fragmentation 2
59.8 Ureteral catheterization 2
77.69 Local excision of lesion or tissue of bone , other 2
78.59 Internal fixation of bone without fracture reduction,other 2

Top ten procedures of in-patients in 2016


Department of Radiology

Number of
ICD-9-CM Description
procedures
92.24 Teleradiotherapy using photons 546
92.18 Total body scan 438
92.28 Injection or instillation of radioisotopes 436
99.25 Injection or infusion of cancer chemotherapeutic substance 366
99.04 Transfusion of packed cells 124
93.96 Other oxygen enrichment 64
96.6 Enteral infusion of concentrated nutritional substances 60
93.39 Other physical therapy 52
57.94 Insertion of indwelling urinary catheter 46
57.95 Replacement of indwelling urinary catheter 28
87.03 Computerized axial tomography of head 28

75
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Psychiatry

Number Average
ICD-10 Description
of visits Length of stay
F31.- Bipolar affective disorder 93 8.47
F20.- Schizophrenia 91 10.12
F25.- Schizoaffective disorders 51 5.59
F32.- Depressive episode 35 14.60
F33.- Recurrent depressive disorder 34 6.59
F06.- Other mental disorders due to brain damage and dysfunction and to 13 20.62
physical disease
F43.- Reaction to severe stress, and adjustment disorders 11 5.09
F10.- Mental and behavioural disorders due to use of alcohol 10 11.30
F15.- Mental and behavioural disorders due to use of other stimulants, including 8 6.50
caffeine
F34.- Persistent mood [affective] disorders 8 12.25

Top five external causes of in-patients in 2016


Department of Psychiatry

Number
ICD-10 Description
of visits
Y49.- Psychotropic drugs, not elsewhere classified 43
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 8
complication, without mention of misadventure at the time of the procedure
W18.- Other fall on same level 3
Y04.- Assault by bodily force 3
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 3
Y46.- Antiepileptics and antiparkinsonism drugs 3
Y47.- Sedatives, hypnotics and antianxiety drugs 3

76
IN-PATIENTS IN 2016

Top ten procedures of in-patients in 2016


Department of Psychiatry

Number of
ICD-9-CM Description
procedures
94.44 Other group therapy 351
93.83 Occupational therapy 242
94.27 Other electroshock therapy 156
94.02 Administration of psychologic test 34
87.03 Computerized axial tomography of head 21
94.39 Other individual psychotherapy 21
89.14 Electroencephalogram 14
93.57 Application of other wound dressing 11
93.27 Stretching of muscle or tendon 9
94.01 Administration of intelligence test 9

77
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2015


Department of Emergency Medicine

Number Average
ICD-10 Description
of visits Length of stay
J18.- Pneumonia, organism unspecified 30 5.23
C34.- Malignant neoplasm of bronchus and lung 22 4.41
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 19 3.95
J69.- Pneumonitis due to solids and liquids 16 7.69
N39.- Other disorders of urinary system 11 6.00
C18.- Malignant neoplasm of colon 8 4.25
C50.- Malignant neoplasm of breast 8 4.25
C56.- Malignant neoplasm of ovary 5 4.80
A41.- Other sepsis 4 2.00
C20.- Malignant neoplasm of rectum 4 5.25

External causes of in-patients in 2016


Department of Emergency Medicine
Number
ICD-10 Description
of visits
Y95.- Nosocomial condition 8
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of 2
the patient, or of later complication, without mention of misadventure at the time of the
procedure
Y44.- Agents primarily affecting blood constituents 1
Y45.- Analgesics, antipyretics and anti-inflammatory drugs 1
Y46.- Antiepileptics and antiparkinsonism drugs 1

78
IN-PATIENTS IN 2016

Operations of in-patients in 2016


Department of Emergency Medicine
Number of
ICD-9-CM Description
operations
86.22 Excisional debridement of wound, infection, or burn 2

Top five procedures of in-patients in 2016


Department of Emergency Medicine
Number of
ICD-9-CM Description
procedures
93.94 Respiratory medication administered by nebulizer 32
99.21 Injection of antibiotic 32
93.96 Other oxygen enrichment 29
96.6 Enteral infusion of concentrated nutritional substances 14
99.04 Transfusion of packed cells 12

79
STATISTICAL REPORT 2016

Top ten principal diagnoses of in-patients in 2016


Department of Her Majesty Cardiac Center
Number Average
ICD-10 Description
of visits Length of stay
I25.- Chronic ischaemic heart disease 1,797 1.20
I47.- Paroxysmal tachycardia 180 1.04
Z03.- Medical observation and evaluation for suspected diseases and conditions 145 1.12
I49.- Other cardiac arrhythmias 119 1.12
I42.- Cardiomyopathy 111 0.91
Z45.- Adjustment and management of implanted device 110 1.13
I21.- Acute myocardial infarction 87 2.92
Q21.- Congenital malformations of cardiac septa 85 1.06
I34.- Nonrheumatic mitral valve disorders 74 1.05
I35.- Nonrheumatic aortic valve disorders 69 1.35

Top five external causes of in-patients in 2016


Department of Her Majesty Cardiac Center
Number
ICD-10 Description
of visits
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of later 123
complication, without mention of misadventure at the time of the procedure
Y57.- Other and unspecified drugs and medicaments 28
Y52.- Agents primarily affecting the cardiovascular system 15
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction of the 14
patient, or of later complication, without mention of misadventure at the time of the procedure
Y51.- Drugs primarily affecting the autonomic nervous system 7
Y71.- Cardiovascular devices associated with adverse incidents 7

80
IN-PATIENTS IN 2016

Top ten operations of in-patients in 2016


Department of Her Majesty Cardiac Center
Number of
ICD-9-CM Description
operations
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy 1,392
37.34 Excision or destruction of other lesion or tissue of heart, other approach 267
39.50 Angioplasty or atherectomy of other non-coronary vessel(s) 90
37.94 Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD] 58
37.87 Replacement of any type pacemaker device with dual-chamber device 41
35.52 Repair of atrial septal defect with prosthesis, closed technique 33
00.51 Implantation of cardiac resynchronization defibrillator, total system [CRT-D] 23
37.98 Replacement of automatic cardioverter/defibrillator pulse generator only 20
35.96 Percutaneous valvuloplasty 18
39.79 Other endovascular procedures on other vessels 18

Top ten procedures of in-patients in 2016


Department of Her Majesty Cardiac Center
Number of
ICD-9-CM Description
procedures
89.51 Rhythm electrocardiogram 3,220
89.52 Electrocardiogram 3,049
88.56 Coronary arteriography using two catheters 2,155
37.22 Left heart cardiac catheterization 1,928
36.07 Insertion of drug-eluting coronary artery stent(s) 1,176
00.40 Procedure on single vessel 921
00.24 Intravascular imaging of coronary vessels 648
00.45 Insertion of one vascular stent 476
00.46 Insertion of two vascular stents 440
88.77 Diagnostic ultrasound of peripheral vascular system 432

81
.
TRENDS
IN 2007 - 2016
.
Trends in number of new visitor and revisitor of out-patients in 2007-2016

Number New visitor Revisitor


500,000
455,358
450,000 441,771
416,593 427,074
400,467
400,000 383,846
369,938
358,282
343,684
350,000
312,911
300 000
300,000
250,000
200,000 174,095 168,120
156,520 146,919 148,770 148,434 146,358
135,175 143,377 140,089
150,000
100,000
50,000
0
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Year

85
TRENDS IN 2007-2016
86
Trends in number of hospital visits and clinical services of out-patients in 2007-2016
STATISTICAL REPORT 2016

Number Clinical Services Hospital Visits


4,500,000

4,000,000 3,765,644 3,778,906 3,818,676


3,711,490
3,586,917
3,500,000 3,290,864
3,103,482 3,185,991
2,943,521 2,933,369 2,970,119 3,008,628
3,000,000 2,878,575
2,799,123
2 584 665
2,584,665 2,564,662 2 588 642
2,588,642
2,493,212
2,500,000 2,372,001
2,217,848
2,000,000

1,500,000

1,000,000

500,000

0
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Year
Trend in number of in-patients in 2007 - 2016
Number
100,000

90,000
84,113 83,747 82,302 82,433 82,613
80,129 80,707 81,494
80,000 77,928 76,845

70,000

60,000

50,000

40,000

30,000

20,000

10,000
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Year

87
TRENDS IN 2007-2016
88
Trends in number of births and deaths of in-patients in 2007-2016
STATISTICAL REPORT 2016

Number Number of births Number of deaths


12,000

9,882 9,675
10,000 9,374
9,203 9,060 9,066 9,158 9,238
8,114
8,000
7,171

6,000

4,000
2,322 2,354 2,256 2,160 1,968 1,811 1,951 1,654 1,702 1,716
2,000

0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2016

Year
Trends in number of Physician, Registered nurse and bed in 2007-2016
Number Physicians Registered nurse Bed
3,500
3,130 3,183 3,183
2,986 3,040
3,000 2,886 2,950
2,816
2,694 2,719

2,500
2,198 2,203 2,203 2,218 2,242 2,247
2,111 2,110 2,110 2,061
2 000
2,000
1,636 1,693
1,500 1,440 1,425 1,438 1,449 1,424 1,441
1,243 1,294

1,000

500

0
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Year

89
TRENDS IN 2007-2016
.
OTHER MEDICAL
SERVICES
IN 2016
.
OTHER MEDICAL SERVICES IN 2016

Statistics of Department of Anatomy


Number of body donor in 2016, classfied by gender, Siriraj Hospital

Number of body donor


Month
Male Female Total
January 278 530 808
February 261 416 677
March 256 504 760
April 229 471 700
May 290 542 832
June 321 649 970
July 239 484 723
August 314 590 904
September 298 494 792
October 258 449 707
November 273 480 753
December 270 522 792
Total 3,287 6,131 9,418

93
STATISTICAL REPORT 2016

Statistics of Department of Pediatrics


Number of out-patients in 2016, classified by clinic
Division of Endocrinology & Metabolism, Department of Pediatrics, Siriraj Hospital
Number of patients who received services provision
Month Endocrine Diabetes mellitus Medicine
Test Total
clinic clinic injection
January 172 154 70 10 406
February 109 128 59 9 305
March 223 165 82 8 478
April 110 162 37 13 322
May 188 138 65 12 403
June 179 177 81 20 457
July 100 109 55 11 275
August 226 178 69 11 484
September 181 127 59 11 378
October 206 184 46 17 453
November 179 110 57 11 357
December 175 197 52 8 432
Total 2,048 1,829 732 141 4,750

Number of in-patients in 2016, classified by patient's type


Division of Endocrinology & Metabolism, Department of Pediatrics, Siriraj Hospital
Number of patients
Month
Revisitor New visitor Total
January 6 44 50
February 6 33 39
March 6 46 52
April 5 30 35
May 6 45 51
June 8 29 37
July 10 36 46
August 6 21 27
September 5 22 27
October 6 52 58
November 6 39 45
December 8 41 49
Total 78 438 516

94
OTHER MEDICAL SERVICES IN 2016

Number of out-patients in 2016, Gastroenterology and Liver clinic


Division of Gastroenterology, Department of Pediatrics, Siriraj Hospital
Number of patients
Month
Revisitor New visitor Total
January 44 1 45
February 42 2 44
March 66 0 66
April 24 1 25
May 48 5 53
June 62 0 62
July 48 0 48
August 46 0 46
September 54 3 57
October 59 1 60
November 70 0 70
December 60 0 60
Total 623 13 636

Number of in-patients in 2016, Gastroenterology and Liver clinic


Division of Gastroenterology, Department of Pediatrics, Siriraj Hospital
Month Number of patients
January 18
February 14
March 12
April 25
May 16
June 24
July 16
August 26
September 29
October 17
November 27
December 37
Total 261

95
STATISTICAL REPORT 2016

Number of out-patients in 2016, Nutrition clinic


Division of Nutrition, Department of Pediatrics, Siriraj Hospital
Month Number of patients
January 52
February 60
March 50
April 49
May 58
June 36
July 44
August 57
September 37
October 57
November 53
December 31
Total 587

Number of in-patients in 2016, Nutrition clinic


Division of Nutrition, Department of Pediatrics, Siriraj Hospital
Number of patients
Month
Revisitor New visitor Total
January 9 8 17
February 11 14 25
March 6 15 21
April 8 19 27
May 9 26 35
June 12 13 25
July 17 9 26
August 14 13 27
September 8 11 19
October 10 12 22
November 9 15 24
December 6 9 15
Total 119 164 283

96
OTHER MEDICAL SERVICES IN 2016

Number of out-patients in 2016, Special clinic


Division of Allergy and Immunology, Department of Pediatrics, Siriraj Hospital
Month Number of visits
January 409
February 413
March 304
April 364
May 367
June 306
July 335
August 472
September 392
October 514
November 507
December 429
Total 4,812

Number of patients with operation in 2016


Division of Allergy and Immunology, Department of Pediatrics, Siriraj Hospital
Number of services
Month Allergy Pulmonary Allergen Atopy Patch EIA Methacholine Drug Food
Skin Test Function Test Immunotherapy Test (APT) challenge challenge
January 61 20 28 2 2 0 6 6
February 45 27 34 1 0 0 4 8
March 37 24 36 0 1 0 7 7
April 50 21 44 3 1 0 5 6
May 41 25 48 1 0 1 3 10
June 47 22 43 0 0 0 3 10
July 55 26 34 2 2 0 2 12
August 78 36 50 2 2 0 3 15
September 43 22 39 1 0 0 0 17
October 58 30 50 2 2 0 4 19
November 89 21 54 4 0 0 2 18
December 48 16 34 2 0 1 2 10
Total 652 290 494 20 10 2 41 138

97
STATISTICAL REPORT 2016

Number of in-patients in 2016, High Risk clinic


Division of Developmental Behavioral Pediatrics, Department of Pediatrics, Siriraj Hospital
Number of patients
Month
Revisitor New visitor Total
January 23 11 34
February 28 7 35
March 42 13 55
April 28 8 36
May 35 9 44
June 45 9 54
July 21 5 26
August 44 9 53
September 30 8 38
October 29 5 34
November 33 17 50
December 45 8 53
Total 403 109 512

Number of consulting for patients in 2016


Division of Developmental Behavioral Pediatrics, Department of Pediatrics, Siriraj Hospital
Number of
Month
consulted patients
January 20
February 20
March 22
April 15
May 22
June 19
July 24
August 22
September 26
October 25
November 20
December 19
Total 254

98
OTHER MEDICAL SERVICES IN 2016

Number of out-patients in 2016, Neurology clinic


Division of Neurology, Department of Pediatrics, Siriraj Hospital
Number of patients
Month
Revisitor New visitor Total
January 173 15 188
February 162 16 178
March 177 22 199
April 155 19 174
May 129 14 143
June 178 16 194
July 80 7 87
August 182 29 211
September 151 19 170
October 167 14 181
November 181 29 210
December 179 11 190
Total 1,914 211 2,125

Number of in-patients in 2016, classified by patient's type


Division of Neurology, Department of Pediatrics, Siriraj Hospital
Number of patients
Month
Revisitor New visitor Total
January 24 18 42
February 20 19 39
March 36 11 47
April 22 24 46
May 21 25 46
June 20 24 44
July 26 21 47
August 31 29 60
September 19 26 45
October 36 30 66
November 35 25 60
December 23 29 52
Total 313 281 594

99
100
Number of out-patients in 2016, classified by clinic
Division of Medical Genetics, Department of Pediatrics, Siriraj Hospital
STATISTICAL REPORT 2016

Genetic clinic Skeletal dysplasia clinic Down Syndrome clinic Birth defect clinic
Month
Revisitor New visitor Total Revisitor New visitor Total Revisitor New visitor Total Revisitor New visitor Total
January 76 34 110 4 2 6 16 1 17 11 0 11
February 80 17 97 6 3 9 13 0 13 12 2 14
March 89 14 103 4 0 4 18 0 18 25 1 26
April 69 20 89 0 0 0 9 0 9 12 0 12
May 27 5 32 0 0 0 0 0 0 0 0 0
June 74 15 89 1 2 3 19 1 20 11 2 13
July 83 18 101 1 0 1 0 0 0 14 2 16
August 91 17 108 3 1 4 12 1 13 17 1 18
September 87 15 102 2 1 3 18 1 19 16 3 19
October 80 20 100 0 2 2 10 1 11 23 2 25
November 82 21 103 4 0 4 8 1 9 17 2 19
December 84 21 105 0 0 0 7 0 7 16 2 18
Total 922 217 1,139 25 11 36 130 6 136 174 17 191
Number of patients in 2016, classified by patient's type
Division of Respiratory, Department of Pediatrics, Siriraj Hospital

Pulmonary Consultation Consultation in Pediatric Endoscopy Pulmpnary Pulmonary Overnight Polysomnogra TCO2 ETCO2 CPAP
Month clinic from other department (FOB) function function test SpO2 ph PSG
department Revisitor New visitor Total (PFT) (PFT):chest med
January 144 2 13 58 71 4 6 5 24 7 2 2 9
February 130 11 21 64 85 2 4 2 19 7 1 0 8
March 183 3 19 65 84 6 9 8 35 12 2 0 10
April 117 3 16 53 69 6 12 9 20 11 1 0 5
May 169 6 18 26 44 4 9 7 24 13 5 0 3
June 169 5 15 50 65 1 10 10 34 16 5 0 9
July 123 4 16 39 55 2 5 5 18 11 6 0 7
August 189 7 6 37 43 3 11 10 16 15 2 0 3
September 163 9 19 95 114 2 11 4 17 16 1 0 3
October 113 8 17 61 78 2 8 14 16 7 3 0 4
November 267 6 7 23 30 6 20 17 21 11 1 0 4
December 168 6 17 52 69 4 13 7 11 10 0 0 1
Total 1,935 70 184 623 807 42 118 98 255 136 29 2 66

101
OTHER MEDICAL SERVICES IN 2016
STATISTICAL REPORT 2016

Number of counseling for Teenager and Teenage mothers in 2016


Division of Ambulatory Pediatrics, Department of Pediatrics, Siriraj Hospital
Month Number of patients
January 54
February 76
March 88
April 77
May 100
June 36
July 80
August 84
September 68
October 68
November 94
December 54
Total 879

Number of out-patients in 2016, Continuity of case pediatric clinic


Division of Ambulatory Pediatrics, Department of Pediatrics, Siriraj Hospital
Number of patients (person)
Month
Revisitor New visitor Total
January 8 119 127
February 10 150 160
March 15 150 165
April 7 160 167
May 7 153 160
June 0 43 43
July 0 74 74
August 30 141 171
September 8 116 124
October 12 138 150
November 7 128 135
December 7 116 123
Total 111 1,488 1,599

102
OTHER MEDICAL SERVICES IN 2016

Number of in-patients in 2016, Rheumatology clinic


Division of Rheumatology, Department of Pediatrics, Siriraj Hospital
Number of patients (person)
Month
Revisitor New visitor Total
January 70 55 125
February 51 45 96
March 53 64 117
April 54 44 98
May 74 43 117
June 74 65 139
July 51 36 87
August 71 50 121
September 52 77 129
October 57 57 114
November 70 46 116
December 55 67 122
Total 732 649 1,381

Number of in-patients in 2016, PICU Ward


Division of Intensive care, Department of Pediatrics, Siriraj Hospital
Number of patients (person)
Month
Revisitor New visitor Total
January 5 28 33
February 4 24 28
March 5 24 29
April 3 19 22
May 4 19 23
June 3 22 25
July 3 22 25
August 3 27 30
September 4 17 21
October 6 16 22
November 4 18 22
December 5 17 22
Total 49 253 302

103
104
Number of in-patients in 2016, RCU Ward
Division of Intensive care, Department of Pediatrics, Siriraj Hospital

Number of patients admission Number of patients discharge


STATISTICAL REPORT 2016

Month
New visitor Transferred from other wards Refer Total Patients moved out of the ward Refer D/C Death Total
from OPD In department Out department In department Out department
January 2 13 2 0 17 15 1 0 0 0 16
February 3 6 0 1 10 9 1 0 0 0 10
March 8 12 2 2 24 21 2 1 1 1 26
April 2 7 1 6 16 15 1 0 2 1 19
May 5 14 2 1 22 16 2 0 0 1 19
June 4 10 6 1 21 18 5 0 0 0 23
July 8 12 3 1 24 18 2 0 1 4 25
August 4 12 5 2 23 15 5 0 0 0 20
September 3 15 4 3 25 19 3 0 1 4 27
October 2 6 3 3 14 7 4 1 0 2 14
November 4 11 4 2 21 15 4 1 0 0 20
December 3 18 1 1 23 23 1 1 0 0 25
Total 48 136 33 23 240 191 31 4 5 13 244
OTHER MEDICAL SERVICES IN 2016

Number of procedure in 2016, Chemotherapy Center


Division of Hematology and Oncology, Department of Pediatrics, Siriraj Hospital
Number of LP BM BM.bx Blood letting Other Central line Procedure
Month
patients with anesthesia
January 131 24 17 4 - 1 22 6
February 153 24 18 8 1 - 33 13
March 161 26 20 5 - - 21 6
April 133 26 20 2 1 - 22 5
May 139 26 16 12 - - 16 5
June 177 30 28 2 1 - 20 7
July 149 21 26 5 - - 20 6
August 179 27 18 1 1 - 33 4
September 223 26 16 1 - 2 35 6
October 150 19 17 2 - 1 26 4
November 170 21 17 3 1 - 31 4
December 185 29 23 1 - - 34 8
Total 1,950 299 236 46 5 4 313 74

Number of death patients in 2016, classified by monthly


Department of Pediatrics, Siriraj Hospital
Month Number of death patients
January 6
February 2
March 7
April 5
May 6
June 8
July 9
August 6
September 8
October 8
November 2
December 8
Total 75

105
STATISTICAL REPORT 2016

Number of out-patients in 2016, classified by the clinic


Department of Pediatrics, Siriraj Hospital
Clinic Number of visits
Pediatrics 63,809
Hematology / oncology 15,843
Allergy 9,681
Cardiology 8,415
Psychiatry 7,651
Breastfeeding 5,589
Endocrinology 4,582
Respiratory Disease 4,444
Preterm Labor 4,338
Nephrology 4,099
Chemotherapy 4,026
Continuity of care pediatric clinic 3,682
Diabetes mellitus (DM) 3,556
Human immunodeficiency virus, HIV 3,286
Neurology 3,227
Child Development 3,223
Newborn 2,272
Dermatology 2,169
Infectious Disease 2,148
Speech Therapists 2,124
Genetics 1,921
Rheumatology 1,719
Developmental 1,632
Artificial Kidney 1,583
Teenage Mothers 1,431
Therapy 1,239
Nutrition 1,198
Learning Development 1,034
Developmental, Activate 877
Gastroenterology and Liver 806
Dialysis Clinic 768
Psychology 706
Infant Development 616
Adolescent 581
One day service 369
Social withdrawal 328
Birth defect 273
Down syndrome 238
Skin and Rheumatology 150
Special needed child clinic 90
Genetic bone 55
Total 175,778

106
Statistics of Department of Microbiology
Number of Specimen receiving and registering services in 2016
Central Laboratory and Siriraj Microbiology Excellence Center, Siriraj Hospital

Number of services
Customers Total
January February March April May June July August September October November December
Siriraj hospital 25,723 25,492 28,598 23,865 25,982 26,289 26,056 28,467 27,947 25,890 27,155 25,469 316,933
Other hospitals 1,257 1,489 1,697 1,306 1,322 1,436 1,426 1,701 1,638 1,560 1,609 1,741 18,182
Total 26,980 26,981 30,295 25,171 27,304 27,725 27,482 30,168 29,585 27,450 28,764 27,210 335,115

107
OTHER MEDICAL SERVICES IN 2016
108
Number of services: Bacteriology Laboratory in 2016
Department of Microbiology, Siriraj Hospital

Number of Test
STATISTICAL REPORT 2016

Test item Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Culture, identification (aerobe) & susceptibility test 9,980 9,826 10,068 9,954 10,236 9,978 10,183 10,424 10,881 10,346 10,663 10,445 122,984
2. Culture, identification (anaerobe) 68 78 86 61 83 75 81 78 82 74 69 72 907
3. Culture from colony/positive media susceptibility test 0 1 0 1 0 3 0 1 1 0 1 0 8
4. Culture from colony/positive media, identification 5 1 3 0 1 15 6 3 2 1 7 1 45
5. Clostidium difficile : toxin gene 242 242 239 254 234 243 287 244 262 276 290 243 3,056
6. Helicobacter pyroli : culture 0 0 0 0 0 0 0 0 0 2 0 0 2
7. Legionella pneumophila : antigen in urine 2 3 3 0 0 1 0 1 0 1 5 2 18
8. Neisseria meningitidis group A: antigen in CSF 5 2 7 9 11 3 5 6 12 3 8 9 80
9. Neisseria meningitidis group B/Escherichia coli K1: antigen in CSF 5 3 6 8 11 3 5 6 11 3 8 8 77
10. Neisseria meningitidis group C: antigen in CSF 5 3 7 9 11 3 5 6 11 3 8 9 80
11. Neisseria meningitidis group Y/W135: antigen in CSF 5 3 6 9 10 3 4 6 10 3 8 9 76
12. Streptococcus agalactiae : antigen in CSF 5 3 7 9 9 3 5 5 15 3 8 9 81
13. Streptococcus pneumoniae : antigen in CSF 5 3 7 9 11 3 5 5 13 3 8 9 81
14. Gram staining* 32 34 44 30 44 32 42 40 50 40 36 25 449
15. Modified acid fast staining* 124 124 133 93 102 107 117 149 110 114 126 134 1,433
Total 10,483 10,326 10,616 10,446 10,763 10,472 10,745 10,974 11,460 10,872 11,245 10,975 129,377

*only that not included in bacterial culture


Number of services: Mycobacteriology & Mycology Laboratory in 2016
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Acid fast staining 243 259 266 196 198 211 253 244 234 253 237 234 2,828
2. Mycobacteria: PROFILE 1* 834 875 950 774 795 791 866 964 937 836 850 768 10,240
3. Mycobacteria: PROFILE 2* 842 902 1,048 819 935 820 914 1,068 1,032 1,014 1,125 1,014 11,533
4. Mycobacteria: PROFILE 3* 14 13 13 7 11 8 17 21 33 23 54 38 252
5. Mycobacteria: molecular identification & automate 5 0 1 4 4 12 10 10 13 4 9 5 77
susceptibility test (from colony or positive media)
6. Mycobacteria: molecular identification & conventional 15 26 20 11 31 28 24 27 29 34 25 4 274
susceptibility test (from colony or positive media)
7. Susceptibility for Mycobacterium tuberculosis ** 3 0 0 0 2 0 0 2 1 0 0 2 10
8. Susceptibility for rapid growing non-tuberculous mycobacteria** 12 12 10 3 8 12 9 9 9 13 13 11 121
9. Susceptibility for slow growing non-tuberculous mycobacteria** 6 7 7 1 11 10 12 12 12 13 7 5 103
10. Direct examination for fungi 1 0 0 1 1 0 0 0 0 0 0 0 3
11. Direct examination for fungi: Gram stain 0 4 4 3 2 2 1 0 2 7 5 2 32
12. Direct examination for fungi: India ink preparation 9 5 1 3 5 9 5 6 3 10 4 4 64
13. Direct examination for fungi: KOH preparation 84 83 84 71 94 112 103 93 86 99 78 106 1,093
14. Fungal culture and identification 946 1,096 1,185 989 1,072 1,143 1,064 1,161 1,087 1,095 1,122 1,200 13,160
15. Susceptibility test for fungi 16 20 21 17 24 31 24 38 25 25 5 17 263
16. Aspergillus : galactomannan antigen detection 137 142 131 151 123 119 142 134 149 142 148 145 1,663
17. Cryptococcus : antigen and titer 42 41 25 27 16 26 29 29 21 26 22 18 322
18. Cryptococcus : antigen 38 28 36 30 32 36 28 28 25 36 31 22 370
19. Fungal molecular identification 2 6 3 5 7 9 1 4 6 5 4 3 55
20. Pythium insidiosum : antibody 2 1 4 1 1 3 1 6 4 5 5 4 37
Total 3,251 3,520 3,809 3,113 3,372 3,382 3,503 3,856 3,708 3,640 3,744 3,602 42,500
* Each profile consists of acid-fast stain, culture, identification and susceptibility test, but in PROFILE 2, the direct PCR test and automated susceptibility test are added. For PROFILE 3, the molecular susceptibility test for isoniazid and rifampicin is added.
** Additional tests that can be requested separately from PROFILES 1, 2 and 3

109
OTHER MEDICAL SERVICES IN 2016
110
Number of services: Virology Laboratory in 2016
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
STATISTICAL REPORT 2016

1. Adenovirus: antigen 2 1 7 2 2 0 1 0 0 1 1 0 17
2. Chlamydia trachomatis : antigen 0 0 2 0 1 1 2 0 0 0 0 0 6
3. Chlamydia trachomatis : isolation 2 0 1 3 5 0 1 1 0 0 0 1 14
4. Cytomegalovirus: antigen 7 11 9 3 15 10 3 9 8 4 7 7 93
5. Cytomegalovirus: isolation 14 23 30 22 40 50 23 16 38 35 26 28 345
6. Epstein-Barr virus: antibody IgA 2 2 3 3 0 3 1 2 3 3 2 2 26
7. Epstein-Barr virus: antibody IgG 36 37 45 32 34 39 58 35 38 44 35 27 460
8. Enterovirus 71: antigen 1 0 2 1 2 1 1 1 0 0 1 2 12
9. Enterovirus: antigen 1 1 4 1 1 0 1 1 3 1 0 2 16
10. Herpes simplex virus (HSV): antigen 61 68 78 61 73 87 70 57 75 59 66 79 834
11. Herpes simplex virus (HSV): Giemsa stain 43 48 43 29 40 41 44 47 53 53 44 57 542
12. Herpes simplex virus (HSV): isolation 2 5 7 7 5 2 1 3 7 9 3 3 54
13. Influenza A virus: antigen 4 11 7 13 10 5 7 12 10 18 11 5 113
14. Influenza A and B virus: antigen (rapid test) 84 154 145 73 88 76 95 165 222 213 179 93 1,587
15. Influenza B virus: antigen 4 12 7 13 10 5 6 12 10 18 11 5 113
16. Measles virus: antigen 0 0 0 0 1 0 0 0 1 0 3 2 7
17. Parainfluenza 1 virus: antigen 1 0 0 0 0 0 0 1 0 0 0 0 2
18. Parainfluenza 2 virus: antigen 1 0 0 0 0 0 0 1 0 0 0 0 2
19. Parainfluenza 3 virus: antigen 1 0 0 0 0 0 0 1 0 0 0 0 2
20. Rotavirus: antigen 75 94 107 117 94 86 105 86 91 77 69 96 1,097
21. Respiratory syncytial virus (RSV): antigen 8 21 17 11 14 10 13 41 63 52 44 20 314
22. Respiratory viruses: antigen PROFILE* 88 96 111 85 110 109 133 173 164 107 107 93 1,376
23. Varicella zoster virus (VZV): antigen 25 24 26 25 27 38 21 16 24 25 31 22 304
24. Varicella zoster virus (VZV): Giemsa stain 4 4 4 3 8 5 0 2 3 2 5 14 54
Total 466 612 655 504 580 568 586 682 813 721 645 558 7,390
* Include of influenza A & B viruses, Parainfluenza 1-3 viruses, RSV, Adenovirus
Number of services: Serology Laboratory in 2016
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Cytomegalovirus (CMV): antibody IgG 45 44 51 37 49 35 51 44 50 35 43 26 510
2. Cytomegalovirus (CMV): antibody IgM 9 7 21 6 8 8 9 8 20 8 16 10 130
3. Dengue virus: antibody IgG & IgM 136 100 76 48 23 30 39 64 71 48 43 51 729
4. Dengue virus: NS1 antigen 195 142 130 67 41 50 60 90 98 70 54 64 1,061
5. Epstein-Barr virus (EBV): antibody IgM 17 18 30 14 14 20 27 17 20 32 35 29 273
6. Hepatitis A virus (HAV): antibody IgG 87 73 66 73 67 64 67 90 85 82 91 59 904
7. Hepatitis A virus (HAV): antibody IgM 41 42 60 37 54 52 28 51 51 48 43 29 536
8. Hepatitis B virus (HBV): anti-HBc antibody 172 175 463 166 182 161 216 199 184 163 171 188 2,440
9. Hepatitis B virus (HBV): anti-HBc antibody IgM 31 29 34 28 32 32 24 32 33 31 25 22 353
10. Hepatitis B virus (HBV): anti-HBe antibody 56 70 64 58 57 51 48 66 58 50 39 51 668
11. Hepatitis B virus (HBV): anti-HBs antibody 945 855 1,245 769 831 1,069 953 1,123 1,071 853 1,099 884 11,697
12. Hepatitis B virus (HBV): antigen HBe 147 159 174 131 143 138 157 168 170 130 133 126 1,776
13. Hepatitis B virus (HBV): antigen HBs 2,969 2,908 3,601 2,605 2,933 3,265 2,940 3,451 3,217 2,863 3,070 2,778 36,600
14. Hepatitis B virus (HBV): antigen HBs quantitative 92 98 90 88 91 88 84 121 77 91 111 107 1,138
15. Hepatitis C virus (HCV): anti-HCV antibody 1,542 1,475 1,761 1,368 1,533 1,629 1,602 1,780 1,777 1,574 1,749 1,536 19,326
16. Hepatitis D virus (HDV): anti-HDV antibody 2 4 4 4 8 1 5 9 2 3 4 0 46
17. Hepatitis E virus (HEV): antibody IgG 9 16 24 11 22 17 16 15 21 23 21 20 215
18. Hepatitis E virus (HEV): antibody IgM 19 16 32 18 24 23 18 21 25 23 22 22 263
19. Herpes simplex virus (HSV): antibody IgG 25 28 28 25 21 13 23 23 23 26 21 16 272
20. Herpes simplex virus (HSV): antibody IgM 6 7 8 7 5 2 3 7 6 4 6 3 64
21. Human immuno-deficiency virus 1 (HIV-1): anti-HIV (ELISA) 3,725 3,518 4,117 3,255 3,571 3,685 3,582 4,130 3,838 3,445 3,749 3,361 43,976

111
OTHER MEDICAL SERVICES IN 2016
112
Number of services: Serology Laboratory in 2016 (cont.)
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
STATISTICAL REPORT 2016

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
22. Human immuno-deficiency virus 1 (HIV-1): anti-HIV (rapid) 174 164 180 175 214 168 172 182 174 180 172 192 2,147
23. Human immuno-deficiency virus 1 (HIV-1): anti-HIV (Western blot) 16 0 0 0 0 0 0 0 0 0 0 0 16
24. Human immuno-deficiency virus 1 (HIV-1): antigen p24 11 12 10 7 7 6 7 9 3 8 11 9 100
25. Human immuno-deficiency virus 1 (HIV-1): antigen p24 quantitative 0 0 0 0 0 0 1 0 0 0 0 0 1
26. Measles virus: antibody IgG 14 13 11 5 6 9 39 153 15 8 25 19 317
27. Measles virus: antibody IgM 6 3 1 1 3 7 35 43 9 6 8 10 132
28. Mumps virus: antibody IgG 10 12 8 4 7 9 10 12 9 7 11 9 108
29. Mumps virus: antibody IgM 2 1 1 2 4 2 3 2 6 3 2 1 29
30. Mycoplasma pneumoniae : antibody 42 52 88 46 32 24 35 47 57 43 37 41 544
31. Rubella virus: antibody IgG 53 61 45 38 42 33 35 66 43 27 48 46 537
32. Rubella virus: antibody IgM 11 8 8 2 2 6 6 18 7 4 6 6 84
33. TORCH: antibody IgG PROFILE* 6 5 17 17 23 32 9 4 5 50 8 26 202
34. TORCH: antibody IgM PROFILE* 5 5 17 17 24 32 12 3 5 50 8 27 205
35. Toxoplasma : antibody IgG 12 8 15 10 8 8 10 18 17 17 11 11 145
36. Toxoplasma : antibody IgM 9 7 10 4 7 9 8 12 10 13 9 10 108
37. Varicella zoster virus (VZV): antibody IgG 117 105 395 45 154 266 82 76 70 43 60 64 1,477
38 Varicella zoster virus (VZV): antibody IgM 2 11 10 8 7 7 2 2 4 4 1 1 59
Total 10,760 10,251 12,895 9,196 10,249 11,051 10,418 12,156 11,331 10,065 10,962 9,854 129,188

* Include of Toxoplasma, Rubella virus, Cytomegalovirus, Herpes simplex virus


Number of services: Molecular Microbiology Laboratory in 2016
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Adenovirus: DNA detection 2 1 0 3 0 4 2 2 1 0 2 4 21
2. Adenovirus: viral load 9 2 3 7 3 3 9 8 6 7 2 13 72
3. BK virus: DNA detection 1 1 3 3 2 5 0 0 1 2 0 1 19
4. BK virus: viral load 234 221 269 227 230 208 231 228 221 209 194 192 2,664
5. Chikungunya virus: RNA detection 0 0 0 0 0 0 0 0 0 1 0 0 1
6. Chlamydia trachomatis : DNA detection 16 18 30 19 10 20 29 15 19 16 21 22 235
7. Coxsackie virus: viral load 0 0 0 0 0 0 0 1 0 0 0 0 1
8. Cytomegalovirus (CMV): DNA detection 28 16 12 12 16 12 13 17 19 21 17 9 192
9. Cytomegalovirus (CMV): viral load 127 148 150 121 148 147 158 116 123 82 111 95 1,526
10. Dengue virus: RNA detection 8 3 2 1 2 0 3 2 3 1 7 7 39
11. Enterovirus 71: RNA detection 10 3 12 5 12 16 6 18 13 9 3 7 114
12. Enterovirus: RNA detection 15 18 22 8 12 7 15 17 13 10 16 11 164
13. Epstein-Barr virus (EBV): DNA detection 0 0 0 9 13 8 13 10 15 13 11 9 101
14. Epstein-Barr virus (EBV): viral load 22 20 15 6 3 4 5 2 6 5 3 4 95
15. Enterohemorrhagic E. coli (EHEC): DNA detection 0 0 0 0 0 0 1 0 0 0 0 0 1
16. Herpes simplex virus (HSV): DNA detection 49 29 32 25 39 18 28 30 41 36 29 21 377
17. Human herpes virus 6 (HHV-6): DNA detection 0 0 0 1 0 2 0 0 1 2 0 2 8
18. Human immunodeficiency virus 1 (HIV-1): drug resistant genotype 7 12 6 11 18 4 11 5 14 15 15 12 130
19. Human immunodeficiency virus 1 (HIV-1): RNA/DNA detection 11 19 7 11 9 7 8 10 11 8 8 5 114
20. Human immunodeficiency virus 1 (HIV-1): viral load 381 417 449 415 525 404 448 487 362 391 395 315 4,989

113
OTHER MEDICAL SERVICES IN 2016
114
Number of services: Molecular Microbiology Laboratory in 2016 (cont.)
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
STATISTICAL REPORT 2016

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
21. Human immunodeficiency virus 2 (HIV-2): RNA detection 2 0 0 0 0 0 0 0 2 0 0 0 4
22. Human metapneumovirus: RNA detection 1 2 0 0 0 0 1 3 0 0 0 0 7
23. Human papilloma virus (HPV): DNA detection 13 19 17 12 14 37 27 45 22 12 26 32 276
24. Human papilloma virus (HPV): genotype 25 23 26 32 29 38 31 17 18 13 16 5 273
25. Influenza A virus (H1, H3, pandemic 2009) /Influenza B/RSV: 64 85 72 57 53 57 74 119 235 237 171 95 1,319
RNA detection
26. Influenza A virus H1: drug resistant genotype (Oseltamivir) 1 1 1 0 0 1 0 1 0 0 0 0 5
27. Influenza A virus H3: drug resistant genotype (Oseltamivir) 0 0 1 1 0 0 0 1 0 0 0 0 3
28. Influenza A virus: RNA detection 5 8 9 5 7 8 8 7 8 5 2 0 72
29. Influenza B virus: RNA detection 5 8 10 5 7 9 8 7 8 6 3 1 77
30. Japanese encephalitis virus (JEV): RNA detection 1 6 6 4 5 7 3 9 6 0 3 3 53
31. JC virus and BK virus: DNA detection 0 0 0 0 0 0 0 2 0 0 2 1 5
32. JC virus: DNA detection 0 0 1 0 1 3 1 0 2 2 4 1 15
33. JC virus: viral load 10 2 1 0 0 4 5 0 3 5 3 0 33
34. Legionella pneumophila : DNA detection 0 0 0 1 0 0 0 0 4 0 2 0 7
35. Leptospira : DNA detetion 2 0 2 0 0 0 0 2 2 3 0 1 12
36. Measles virus: RNA detection 0 0 0 0 0 0 0 1 1 0 1 2 5
37. Mycobacteria: direct PCR for M. tuberculosis (no culture) 17 34 38 37 31 55 49 48 55 50 62 43 519
38. Mycobacteria: direct PCR for M. tuberculosis /non-tuberculous 1 2 3 1 0 1 4 1 0 2 1 0 16
mycobacteria (NTM) (no culture)
Number of services: Molecular Microbiology Laboratory in 2016 (cont.)
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
39. Mycobacteria: direct PCR for M. tuberculosis rifampicin resistance 26 24 13 4 21 10 20 19 24 19 7 21 208
40. Mycoplasma pneumoniae : quantitative DNA detection 0 0 0 0 1 0 0 1 0 0 0 0 2
41. Neisseria gonorrhoeae : DNA detection 15 17 31 17 12 20 26 18 17 15 22 22 232
42. Mump: RNA detection 0 0 2 0 0 0 0 0 0 0 0 0 2
43. Parvovirus B19: DNA detection 2 5 3 2 4 6 5 8 2 5 2 5 49
44. Parvovirus B19: viral load 0 0 2 0 0 0 0 0 1 1 1 1 6
45. Rabies virus: RNA detection 0 0 0 0 0 0 1 0 0 0 0 0 1
46. Respiratory pathogens: RNA/DNA detection 12 11 14 9 8 15 11 25 31 23 48 38 245
47. Rickettsia : DNA detection 5 1 0 2 1 0 0 3 1 4 0 2 19
48. Rotavirus: RNA detection 0 1 0 0 0 0 0 0 1 0 0 0 2
49. Rubella virus: RNA detection 1 3 2 1 0 1 4 0 1 1 0 0 14
50. Varicella zoster virus (VZV): DNA detection 32 19 15 16 21 13 20 17 24 18 13 9 217
51. Viruses: molecular epidemiology 0 0 0 2 0 1 7 5 15 27 23 69 149
Total 1,160 1,199 1,281 1,092 1,257 1,155 1,285 1,327 1,352 1,276 1,246 1,080 14,710

115
OTHER MEDICAL SERVICES IN 2016
116
Number of services: Environmental Microbiology Laboratory in 2016
Department of Microbiology, Siriraj Hospital
Number of Test
STATISTICAL REPORT 2016

Test item Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Air examination: total aerobic microbial count 4 60 6 0 6 24 0 59 6 0 51 18 234
2. Air examination: total fungal count 4 60 6 0 6 24 5 59 6 0 51 18 239
3. Bacteria: endotoxin test 0 3 15 1 2 6 8 7 7 3 6 10 68
4. Bacteria: molecular epidemiology 0 0 0 0 0 0 0 0 3 0 0 0 3
5. Bacteria: molecular identification 90 79 85 73 58 92 70 65 68 52 78 63 873
6. Bacteria: sterility test 429 501 577 456 428 503 408 492 492 392 395 551 5,624
7. Bacteria: sterility test (additional filtration) 13 12 13 12 13 12 13 12 13 12 17 12 154
8. Food examination: Bacillus cereus detection 6 10 7 8 11 15 9 7 9 7 9 16 114
9. Food examination: Clostridium perfringens detection 0 0 2 2 4 2 2 2 2 2 2 2 22
10. Food examination: coliform count 10 10 7 8 11 12 11 7 9 7 9 12 113
11. Food examination: Escherichia coli count 6 10 7 8 11 15 9 7 9 7 9 15 113
12. Food examination: Salmonella spp. detection 6 10 7 8 11 15 9 7 9 7 9 15 113
13. Food examination: Staphylococcus aureus detection 6 10 7 8 11 18 9 7 9 7 9 19 120
14. Food examination: total aerobic microbial count 6 10 7 8 12 15 10 7 9 7 9 17 117
15. Food examination: Vibrio cholerae detection 0 0 0 0 4 2 0 0 2 2 2 2 14
16. Food examination: Vibrio parahaemolyticus detection 0 0 2 2 0 0 2 2 0 0 0 0 8
17. Herb examination: Clostridium spp. detection 15 19 19 14 42 13 24 32 6 25 14 23 246
18. Herb examination: Escherichia coli detection 15 19 19 14 42 13 24 32 6 25 14 23 246
Number of services: Environmental Microbiology Laboratory in 2016 (cont.)
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
19. Herb examination: Pseudomonas aeruginosa detection 9 8 7 5 5 8 16 12 9 16 10 6 111
20. Herb examination: Salmonella spp. detection 15 19 19 14 42 13 24 32 6 25 14 23 246
21. Herb examination: Staphylococcus aureus detection 9 8 7 5 5 8 16 12 9 18 11 6 114
22. Herb examination: total aerobic microbial count 24 27 26 19 47 21 40 44 15 41 24 29 357
23. Herb examination: total fungal count 24 27 26 19 47 21 43 44 15 41 23 29 359
24. Herb examination: Enterobacteria count 13 16 15 14 38 12 24 23 5 20 12 20 212
25. Medical product examination: sterility test 0 0 0 0 0 2 0 0 0 0 0 1 3
26. Water examination: coliform count 42 38 30 24 49 46 42 35 52 44 38 52 492
27. Water examination: Escherichia coli count 42 38 30 24 49 46 34 35 52 44 38 52 484
28. Water examination: endotoxin test 13 12 27 9 9 41 36 12 27 13 9 27 235
29. Water examination: specific pathogen detection 1 1 1 0 1 4 1 1 1 1 1 4 17
30. Water examination: total aerobic microbial count 58 66 65 65 119 94 56 119 65 58 58 75 898
Total 860 1,073 1,039 820 1,083 1,097 945 1,173 921 876 922 1,140 11,949

117
OTHER MEDICAL SERVICES IN 2016
STATISTICAL REPORT 2016

Statistics of Department of Dermatology


Number of patient services in 2016, classified by clinic, Siriraj Hospital

Number of visits
Services
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
Patient's skin 7,578 7,334 7,876 7,245 7,213 6,814 6,390 8,112 7,881 6,010 8,183 7,683 88,319
General patient's skin (15) 3,796 4,082 4,520 4,134 4,023 3,398 3,650 4,683 4,289 4,025 4,234 4,224 49,058
Contact dermatitis clinic 124 89 79 100 79 140 102 124 119 103 124 97 1,280
Clinic 407
- Sexually transmitted disease 70 85 118 78 79 94 76 117 109 87 120 41 1,074
- Infectious control@1502(407clinic) 91 91 79 78 70 58 53 134 102 141 166 85 1,148
Skin biopsy report clinic 65 110 111 96 133 107 112 99 120 93 136 118 1,300
Hansen's clinic 10 6 10 10 7 10 11 7 10 6 8 8 103
Autoimmune clinic 94 91 104 92 78 107 99 74 116 94 93 112 1,154
Granuloma clinic 16 10 12 8 7 15 11 12 14 15 14 16 150
Phototherapy clinic 391 385 469 412 493 559 544 485 556 539 588 577 5,998
Skin allergy clinic 80 87 97 65 79 89 57 106 99 90 119 77 1,045
Melasma clinic 81 68 76 69 68 77 47 91 62 75 56 41 811
Hair clinic 205 208 187 189 204 178 149 225 149 171 151 108 2,124
Mohs surgery clinic 10 12 13 8 7 8 4 8 7 1 12 7 97
Skin laser center 390 325 426 392 416 335 191 180 335 315 359 398 4,062
Vitiligo clinic 10 8 22 0 18 17 16 10 12 12 18 23 166
Hair transplantation clinic 4 8 4 3 2 4 6 6 6 4 6 3 56
Nail procedure clinic 24 35 17 15 30 31 18 33 35 26 32 22 318
Onychomycosis and nail clinic 25 12 18 19 16 20 19 13 22 23 16 10 213
Psoriasis clinic 100 89 123 63 95 98 91 134 99 97 121 106 1,216
Birthmark clinic 17 15 15 11 15 14 20 13 13 15 14 15 177
Birthmark laser clinic 29 22 24 22 24 26 27 28 32 20 25 26 305
Aesthetic clinic 17 15 20 13 16 20 15 12 14 20 19 12 193
Dematopathology 111 88 126 116 127 107 110 91 115 88 126 108 1,313

118
OTHER MEDICAL SERVICES IN 2016

Number of patient services in 2016, classified by laboratory testing


Department of Dermatology, Siriraj Hospital

Number of visits
Services
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
Immunofluorescence
DIF 82 66 90 89 65 75 58 98 91 63 81 75 933
IIF 18 17 18 26 25 19 19 28 20 33 27 21 271
Fungus
KOH 997 885 991 865 864 999 817 1,020 1,182 906 974 930 11,430
Culture 539 444 469 378 420 340 416 539 534 396 483 372 5,330
Staining
Gram, Stain 22 25 28 21 21 36 25 37 21 21 38 30 325
Wright, stain 90 88 85 103 71 110 86 108 122 114 109 92 1,178
Acid fast stain 0 2 0 3 3 1 0 1 0 0 8 1 19
Modified AFB 0 0 2 3 1 2 0 1 0 0 2 2 13
Dark field examination 3 1 1 0 1 2 2 3 2 1 2 0 18
Specimens collection for Lab microbiology
Bacteria 11 31 50 33 17 25 11 32 20 24 32 23 309
Fungi 5 5 5 9 7 1 3 11 3 5 11 4 69
Mycobacteria 2 5 0 1 0 0 1 0 0 0 0 0 9
Virus (HSV&VSV) 0 0 0 0 0 0 0 0 0 0 0 0 0
Antigen (HSV&VSV) 5 7 15 3 6 16 19 14 21 12 29 9 156
PCR 5 6 5 10 8 9 3 14 21 9 14 5 109
G.C. 4 11 22 11 4 9 8 9 4 0 1 0 83
Operation in STD Clinic
Aceto white 7 6 2 8 8 8 4 6 7 6 6 0 68
Podophyllin cautery 35 29 42 41 35 34 35 44 25 24 56 20 420
Cryosurgery 4 1 0 2 2 6 1 12 17 7 12 0 64
Podophyllin + 50% TCA 0 0 0 0 0 0 0 0 0 0 0 0 0
Moh's 3 3 4 3 1 1 3 1 2 0 5 0 26

119
STATISTICAL REPORT 2016

Number of patient services in 2016, classified by operative


Department of Dermatology, Siriraj Hospital
Number of visits
Services
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
General injections 5 9 9 4 2 11 6 22 6 6 13 10 103
TA inj. 10 mg./ml. 199 276 291 242 274 268 375 310 281 289 282 289 3,376
TA inj. 40 mg./ml. 22 20 16 31 24 23 15 32 31 23 27 18 282
Electrical cauterization 34 35 39 - 17 61 47 46 59 37 41 32 448
Liquid nitrogen 142 147 157 154 144 156 143 178 155 151 156 136 1,819
extraction 34 54 61 50 51 76 69 56 64 54 46 49 664
Dressing 42 59 71 55 51 50 49 60 67 75 117 101 797
Trichloroacetic acid application 43 35 46 37 43 51 38 43 54 36 45 45 516
Stitches off suture 28 38 36 33 33 38 46 39 46 37 46 52 472
Incision & drainage 3 6 7 3 42 4 2 5 7 3 3 2 87
Skin tag removal 15 9 11 22 8 16 15 15 12 18 21 12 174
Paring 20 30 38 30 17 35 27 41 30 22 24 20 334
Shave biopsy 46 48 15 13 16 11 13 18 25 19 15 18 257
AHA peeling 65 55 42 31 26 34 24 34 36 35 43 35 460
Iontophoresis 4 0 0 2 0 0 0 2 0 1 8 0 17
IM Infection 3 1 14 5 0 11 3 4 13 8 12 7 81
IV Injection 6 1 7 1 3 5 5 2 2 5 7 14 58
DCP application 83 113 50 35 31 36 76 101 73 83 73 70 824
Aspiration of skin 3 4 9 8 0 6 1 7 0 6 3 3 50

120
Statistics of Department of Forensic Medicine
Number of patients in 2016, classified by Indicators

Number of Test
Indicators Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Police station Station 32 32 32 32 32 32 32 32 32 32 32 32 384
2. Autopsy and scene Case 511 537 526 554 575 525 503 541 472 530 531 514 6,319
Inside area of responsibility Case 473 504 496 514 543 494 467 493 439 505 499 483 5,910
Outside area of responsibility Case 38 33 30 40 32 31 36 48 33 25 32 31 409
3. Case of Clinical Forensic Medicine Case 863 837 916 724 867 914 760 887 781 691 822 881 9,943
4. The court witness Case 16 7 14 8 7 8 5 12 13 17 7 5 119
5. Case of Specimen Case 726 731 1,001 754 801 689 604 922 767 1075 948 709 9,727
6. Slide of Histochemistry Laboratory Case 3,268 2,914 2,764 2,318 2,406 3441 3172 2856 3170 3009 2452 2757 34,527
7. Sample of Forensic Toxicology Laboratory Sample 1,812 1,857 1,755 1,764 2,078 1937 2142 2800 2502 1728 2305 1952 24,632
8. Sample of Forensic Serology Laboratory Sample 228 237 211 243 230 228 176 244 187 208 218 213 2,623
9. Sample of Biological Trace Evidence Laboratory Sample 255 263 218 189 300 227 220 218 201 303 236 169 2,799
Total 8,222 7,952 7,963 7,140 7,871 8,526 8,117 9,053 8,597 8,123 8,082 7,746 97,392

121
OTHER MEDICAL SERVICES IN 2016
122
Statistics of Department of Parasitology
Number of examining at the central laboratory in 2016, classified by type of examining, Siriraj Hospital
STATISTICAL REPORT 2016

Number of examining
List of examining Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Direct wet smear 1,218 1,170 1,229 1,100 1,137 1,189 1,251 1,525 1,305 1,241 1,246 1,064 14,675
2. Modified formalin-ethyl acetate 364 342 376 400 393 460 427 476 524 456 448 427 5,093
3. Stool test to examine occult blood by Guaiac test 472 431 505 398 453 417 448 480 488 481 472 434 5,479
4. Stool test to examine occult blood by 94 117 90 95 110 109 90 159 131 145 143 155 1,438
Immunochromatographic test
5. Stool test to examine fat 37 30 42 16 20 33 23 32 34 22 24 23 336
6. Blood test to examine Malaria by Thick film 4 12 4 9 2 5 5 14 12 9 9 9 94
7. Blood test to examine Malaria by Thin film 4 12 4 9 2 2 - - - - - - 33
8. Test Malaria antigen by Rapid test* 2 - - 2 2 2 1 5 6 1 3 3 27
9. Blood test to examine Filaria by Giemsa 1 1 1 1 1 - 3 2 3 5 3 1 22
10. Stool test by simple sedimentation - - - - - - - 2 1 2 - - 5
11. Stool test by scotch tape techinique - - 1 - - - - - - - - - 1
Total 2,196 2,115 2,252 2,030 2,120 2,217 2,248 2,695 2,504 2,362 2,348 2,116 27,203
Number of examining at the special laboratory in 2016, classified by type of examining
Department of Parasitology, Siriraj Hospital

Number of examining
List of examining Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Examine the Pneumoncystis by GMS pigmentation 23 20 23 21 20 20 12 24 18 17 26 11 235
2. Examine the Pneumoncystis by Giemsa pigmentation 25 37 29 30 22 28 16 25 24 14 20 18 288
3. Examine the Pneumoncystis by IFA pigmentation 39 47 35 33 31 34 28 31 35 25 37 35 410
4. Examine the Cryptosporidium by modified acid-fast pigmentation 11 11 12 12 12 14 13 16 12 14 29 11 167
5. Examine the Microsporidium by modified trichrome pigmentation 9 8 3 5 9 13 6 7 5 3 15 10 93
6. Examine theAcanthamoeba by culture 53 62 77 49 27 86 29 46 123 37 39 97 725
7. Examine Ab to Cysticercus Cellulosae by ELISA 1 4 1 1 2 1 5 2 1 1 4 - 23
8. Examine Ab to Entamoeba histolytica by ELISA 3 7 12 2 9 6 5 10 5 10 9 7 85
9. Examine Ab to Angiostrongylus contonensis by ELISA 3 2 1 1 1 3 5 2 1 1 6 - 26
10. Examine IgG Ab to Toxoplasma gondii by ELISA - 1 - 2 1 1 1 2 - 2 3 2 15
11. Examine IgM Ab to Toxoplasma gondii by ELISA - - - 1 1 - 1 3 - 1 2 - 9
12. Examine IgG Ab to Filaria by ELISA 3 - 1 - 1 - 1 1 3 2 7 5 24
13. Examine Ab to Gnathostoma spinigerum by western blot 7 4 5 3 5 8 6 2 1 2 7 1 51
14. Examine Protozoa by Trichrome pigmentation 6 2 2 3 6 6 3 4 4 4 8 6 54
15. Parasite Identification - 2 - 1 1 3 1 3 - 1 1 2 15
Total 183 207 201 164 148 223 132 178 232 134 213 205 2,220

123
OTHER MEDICAL SERVICES IN 2016
124
Statistics of Department of Pathology
Number of services in 2016, classified by working type, Siriraj Hospital
Number of services
Working type unit Total
STATISTICAL REPORT 2016

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Claim the body case 143 151 167 185 175 142 159 173 181 205 170 213 2,064
Embalm case 83 81 88 95 76 90 75 106 108 148 123 102 1,175
Autopsy case 12 12 9 10 14 6 5 14 9 11 1 16 119
Autopsy Slide 630 445 615 663 485 253 304 682 650 509 201 609 6,046
Autopsy Block 518 423 473 609 448 927 265 641 533 465 165 518 5,985
Disposal of the dead body
Given to relatives case 105 126 144 169 140 131 139 152 153 185 160 178 1,782
Poh Teck Tung Foudation case 9 2 6 7 2 6 0 0 113 0 0 0 145
Given to Department of Anatomy case 0 0 95 0 0 0 7 3 10 4 10 3 132
Biopsy
Surgical case 3,071 3,061 3,521 3,035 3,129 3,502 3,474 3,585 3,430 3,180 3,406 3,323 39,717
Surgical Slide 21,198 20,193 24,154 20,390 20,396 23,655 20,266 24,171 23,774 16,465 22,309 22,321 259,292
Surgical Block 11,632 14,931 18,116 15,387 15,269 17,422 14,519 16,049 15,621 14,459 17,489 17,415 188,309
X-Surgical case 372 313 346 331 317 353 247 421 298 276 298 308 3,880
X-Surgical Slide 4,473 3,422 3,393 3,203 3,568 3,346 2,497 2,437 2,481 2,501 2,439 2,128 35,888
X-Surgical Block 1,023 1,243 1,708 1,096 1,077 1,391 917 1,067 997 867 987 810 13,183
SiPH-surgical case 522 480 589 540 621 623 501 487 502 506 504 514 6,389
SiPH-surgical Slide 2,721 2,721 3,829 3,064 3,151 3,182 3,045 2,439 2,563 2,570 2,528 2,672 34,485
SiPH-surgical Block 2,149 2,369 3,079 2,589 2,646 2,400 2,468 2,291 2,109 2,275 2,297 2,313 28,985
Histochemistry
Histochemistry Slide 3,063 2,904 3,310 3,010 3,079 3,347 2,466 3,141 3,069 3,306 2,816 3,098 36,609
Histochemistry Type 40 45 40 42 38 38 42 41 41 44 44 42 497
Frozen section (Surgical)
Frozen section (Surgical) case 93 79 96 65 71 91 75 89 93 106 81 97 1,036
Frozen section (Surgical) Slide 486 437 524 355 478 494 423 442 529 709 448 513 5,838
Frozen section (Surgical) Block 269 245 295 215 262 295 221 240 308 346 240 275 3,211
Number of services in 2016, classified by working type (cont.)
Department of Pathology, Siriraj Hospital
Number of services
Working type unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Frozen section (SiPH-Surgical)
Frozen section (SiPH-Surgical) case 10 9 15 6 14 6 10 7 7 12 6 9 111
Frozen section (SiPH-Surgical) Slide 40 40 50 22 46 36 49 25 26 66 14 32 446
Frozen section (SiPH-Surgical) Block 21 26 26 17 26 19 33 14 18 41 9 21 271
Immunoperoxidase
Immunoperoxidase Slide 4,366 3,970 4,391 3,761 4,103 4,621 3,435 4,551 4,378 4,173 4,181 4,942 50,872
Immunoperoxidase Type 184 186 193 182 187 211 199 207 205 200 209 204 2,367
Cytology
Ctl
Cytology case 632 858 719 562 578 625 591 753 619 580 672 591 7,780
Cytology Slide 2,790 2,847 3,387 2,490 2,724 2,732 2,377 3,499 3,006 2,492 3,054 2,632 34,030
Cytology Block 1,009 1,060 1,261 935 988 1,172 927 1,303 1,144 1,005 1,204 1,114 13,122
Cytogynae-SiPH
Cytogynae-SiPH case 389 365 507 371 476 481 347 407 458 401 431 411 5,044
Cytogynae-SiPH Slide 389 365 507 371 476 481 347 407 458 401 431 411 5,044
Cytonongynae-SiPH
Cytonongynae-SiPH case 73 77 76 68 68 95 67 71 84 66 77 70 892
Cytonongynae-SiPH Slide 332 365 382 361 327 480 310 353 425 307 375 383 4,400
Cytonongynae-SiPH Block 125 141 142 115 139 178 132 122 164 115 146 138 1,657
Electron Microscope image test
Transmission case 60 40 83 53 51 57 40 73 57 56 47 165 782
Transmission Slide 215 150 420 195 264 224 162 439 236 283 157 352 3,097
Transmission Image 29 42 79 57 0 62 104 309 511 305 281 197 1,976

125
OTHER MEDICAL SERVICES IN 2016
126
Statistics of Department of Clinical Pathology
Number of laboratory examination and services provision in 2016, classified by laboratory, Siriraj Hospital
STATISTICAL REPORT 2016

Number of examination
Central laboratory Special Laboratory Total Number of
Month
Chemical Hemostasis Hematology Microscopy Serology and Hemostasis Down Molecular POCT test patients (visits)
clinic system Immunology system Syndrome Biology
January 450,627 15,853 42,758 16,327 6,114 382 70 51 1,677 533,859 94,457
February 436,064 14,782 40,920 15,818 6,191 341 85 46 1,739 515,986 91,880
March 488,154 16,516 45,769 18,001 6,825 393 127 46 1,874 577,705 101,744
April 420,521 15,393 38,451 15,333 6,608 398 127 35 1,627 498,493 87,842
May 458,256 15,559 41,390 16,781 6,048 440 117 40 1,741 540,372 95,263
June 454,151 16,324 41,021 16,377 5,886 373 89 35 1,821 536,077 94,330
July 437,416 15,234 39,374 15,798 6,134 363 105 30 1,743 516,197 91,070
August 484,739 16,101 44,902 17,779 7,129 490 110 47 1,963 573,260 101,065
September 473,119 16,722 42,593 17,123 6,512 463 125 58 2,041 558,756 98,706
October 467,502 16,703 42,488 16,683 5,970 389 104 37 2,050 551,926 97,030
November 473,247 17,186 43,076 16,881 6,201 406 124 52 2,153 559,326 98,495
December 447,497 16,590 40,571 15,896 5,643 424 103 58 1,939 528,721 91,913
Total 5,491,293 192,963 503,313 198,797 75,261 4,862 1,286 535 22,368 6,490,678 1,143,795
Number of examination at Central Laboratory: Chemical clinic in 2016
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Alkaline Phosphatase 11,839 11,572 12,711 11,051 12,081 12,380 11,740 13,683 12,317 12,749 12,589 11,975 146,687
2. GGT 903 958 961 913 935 919 983 955 975 1,064 990 959 11,515
3. BUN 29,017 28,257 31,425 27,634 29,178 29,774 28,371 31,198 30,477 30,683 31,016 29,718 356,748
4. LDH-L 1,413 1,412 1,477 1,373 1,571 1,498 1,459 1,668 1,500 1,501 1,514 1,470 17,856
5. AST (SGOT) 19,616 19,116 21,439 18,408 20,142 20,165 19,082 21,751 20,127 20,573 20,763 19,360 240,542
6. ALT(SGPT) 21,499 20,921 23,656 20,024 22,016 22,030 20,675 23,688 21,815 22,300 22,637 21,015 262,276
7. CPK 1,856 1,686 2,054 1,602 1,806 1,826 1,715 1,759 1,720 1,694 1,721 1,537 20,976
8. CHOLESTEROL 16,097 15,347 18,193 14,581 16,450 15,929 14,961 17,644 16,275 16,504 16,783 15,268 194,032
9. HDL-CHOL 14,989 14,254 16,771 13,356 15,033 14,655 13,653 16,263 14,928 15,269 15,351 14,057 178,579
10. URIC ACID 6,046 5,821 6,538 5,540 5,974 6,527 5,941 7,029 6,030 6,067 6,184 5,847 73,544
11. TRIGLYCERIDE 16,540 15,821 18,663 14,907 16,725 16,256 15,259 18,014 16,681 16,916 17,092 15,595 198,469
12. GLUCOSE 25,676 24,474 28,522 23,001 26,391 25,293 23,900 27,595 25,840 25,833 26,547 24,291 307,363
13. PHOSPHORUS 9,480 9,070 9,694 9,287 9,613 9,497 9,329 9,744 9,932 9,636 9,615 9,425 114,322
14. ALBUMIN 17,212 16,631 18,801 16,182 17,840 17,552 16,890 18,828 17,856 18,195 18,489 17,540 212,016
15. TOTAL BILIRUBIN 9,813 9,600 10,579 9,427 10,421 10,205 9,967 10,931 10,498 10,661 10,643 10,161 122,906
16 TOTAL PROTEIN 11,435 11,093 12,349 10,616 11,707 11,607 11,211 12,441 11,856 12,156 12,215 11,557 140,243
17. AMMONIA 114 110 53 83 62 73 67 118 71 83 67 73 974
18. TOTAL CALCIUM 8,023 7,722 8,509 7,633 8,492 8,217 7,910 8,540 8,673 8,334 8,656 8,381 99,090
19. CREATININE 47,090 45,345 51,788 44,122 47,949 47,241 44,838 50,911 48,820 48,636 49,939 46,776 573,455
20. DIRECT BILIRUBIN 9,479 9,170 10,162 9,014 10,039 9,790 9,560 10,511 10,059 10,194 10,289 9,792 118,059

127
OTHER MEDICAL SERVICES IN 2016
128
Number of examination at Central Laboratory: Chemical clinic in 2016 (cont.)
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
STATISTICAL REPORT 2016

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
21. MAGNESIUM 7,182 7,189 7,403 7,390 7,217 7,318 7,526 7,266 7,493 7,437 7,037 7,243 87,701
22. AMYLASE 262 298 320 291 286 328 337 269 275 253 249 268 3,436
23. SODIUM 27,393 26,771 28,732 26,002 27,736 27,298 27,426 29,270 29,353 28,579 28,817 28,035 335,412
24. POTASSIUM 31,225 30,522 33,402 29,638 31,920 31,038 30,909 33,153 33,234 32,235 32,774 31,457 381,507
25. CHLORIDE 26,024 25,535 27,225 24,832 26,249 25,908 25,952 27,656 27,921 26,960 27,200 26,596 318,058
26. BICARBONATE(CO2) 26,911 26,250 28,239 25,559 27,301 26,855 26,871 28,659 28,791 28,034 28,276 27,481 329,227
27. IONIZED CALCIUM 2,960 2,907 3,090 3,141 2,656 2,949 3,026 2,791 2,945 2,984 2,642 2,923 35,014
28. TRANSFERRIN 43 28 46 40 28 47 34 49 24 27 26 20 412
29. HAPTOGLOBIN 51 51 46 58 68 54 49 65 60 70 43 44 659
30. Troponin-T 1,109 944 911 822 880 906 1,049 1,049 1,072 1,054 1,021 974 11,791
31. Ketone 242 231 205 187 268 175 187 180 188 208 223 229 2,523
32. T3 2,651 2,525 2,871 2,234 2,489 2,758 2,429 2,648 2,835 2,586 2,577 2,412 31,015
33. T4 514 490 553 440 498 527 478 495 526 409 489 456 5,875
34. FT4 4,328 4,097 4,809 3,756 4,279 4,478 3,985 4,570 4,718 4,525 4,514 4,121 52,180
35. TSH 5,271 5,010 5,831 4,675 5,174 5,413 4,914 5,523 5,722 5,419 5,589 5,088 63,629
36. CORTISOL 480 528 594 528 643 619 561 730 695 694 676 633 7,381
37. INSULIN 247 374 324 213 349 299 287 310 257 308 290 355 3,613
38. BLOOD GAS 1,797 1,663 1,634 1,334 1,422 1,830 1,740 1,712 2,177 2,338 2,075 2,044 21,766
39. Hb A1C 13,938 12,930 15,413 12,269 14,256 13,648 13,070 14,376 13,645 13,914 14,717 12,974 165,150
40. U/CSF MICRO TOTAL PROTEIN 2,475 2,250 2,734 2,288 2,395 2,342 2,192 2,356 2,362 2,175 2,353 2,276 28,198
Number of examination at Central Laboratory: Chemical clinic in 2016 (cont.)
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
41. LIPASE 185 243 239 234 219 259 274 248 238 198 203 255 2,795
42. LACTATE 1,201 1,230 1,029 1,288 1,074 1,271 1,116 972 1,176 1,313 1,256 1,241 14,167
43. CK-MB 395 378 436 325 460 434 409 424 432 425 421 378 4,917
44. DIRECT LDL 4,600 4,184 5,267 4,102 4,688 4,520 4,451 4,779 4,532 4,557 4,924 4,287 54,891
45. PARATHYROID 1,292 1,155 1,449 1,071 1,254 1,335 1,107 1,204 1,150 1,391 1,285 1,181 14,874
46. B-crosslaps 194 239 336 180 200 329 218 203 193 265 212 192 2,761
47. N-Mid osteocalcin 74 113 211 87 87 196 80 81 90 147 102 72 1,340
48. Pro BNP 75 100 97 79 90 108 107 89 112 110 107 122 1,196
49. TOTAL P1NP 169 209 295 144 170 277 171 163 153 203 153 161 2,268
50. MICROALBUMIN 2,126 2,039 2,445 1,902 2,195 1,923 2,005 2,337 2,227 2,382 2,432 2,101 26,114
51. LH 291 292 305 203 245 276 262 409 361 284 301 248 3,477
52. ESTRADIOL 294 345 332 211 264 279 284 450 419 340 362 288 3,868
53. PROGESTERONE 35 47 31 21 18 27 14 25 25 9 27 24 303
54. PROLACTIN 288 340 368 287 350 309 310 398 351 308 323 290 3,922
55. PROCALCITONIN 316 326 325 394 327 351 365 266 281 270 420 339 3,980
56. TESTOSTERONE 291 319 326 229 311 296 290 344 305 264 283 240 3,498
57. FERITIN 1,263 1,142 1,353 1,269 1,233 1,299 1,183 1,349 1,298 1,335 1,383 1,397 15,504
58. B12 237 235 234 239 235 243 249 238 254 296 265 277 3,002
59. FOLATE 167 166 183 173 168 177 188 188 198 233 204 208 2,253
60. PREALBUMIN 114 105 149 125 122 127 138 124 60 72 105 146 1,387

129
OTHER MEDICAL SERVICES IN 2016
130
Number of examination at Central Laboratory: Chemical clinic in 2016 (cont.)
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
STATISTICAL REPORT 2016

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
61. CERULOPLASMIN 39 34 46 33 29 26 31 34 24 30 24 19 369
62. AIPHA 1 ANTYTRYSIN 3 2 3 2 3 2 2 2 2 2 2 2 27
63. FSH 403 463 459 335 445 450 401 507 445 384 411 340 5,043
64. MICROBILIRUBIN 1,502 1,630 1,433 1,550 1,658 1,462 1,516 1,533 6,088 1,467 1,297 1,291 22,427
65. VITAMIN D 1,411 1,317 1,572 1,162 1,392 1,451 1,246 1,451 1,434 1,502 1,534 1,533 17,005
66. Free T3 (FT3) 399 410 431 358 394 431 393 432 456 374 447 359 4,884
67. sFlt-1 2 4 3 6 3 8 1 1 6 2 2 2 40
68. PIGF 2 4 3 6 3 8 1 1 6 2 2 2 40
69. Carboxyhemoglobin (COHb) - - - - - - - 2 - - - - 2
70. Methemoglobin (Methb) 19 20 22 14 10 2 9 17 5 10 4 2 134
71. Lipoprotein(a) - - 1 3 1 6 1 5 1 6 - 3 27
72. SHBG - - 14 8 8 5 12 13 12 6 7 10 95
73. DHEA-S - - 9 7 4 7 17 15 6 10 11 9 95
74. C-peptide - - 21 23 57 33 32 37 36 48 50 52 389
Total 450,627 436,064 488,154 420,521 458,256 454,151 437,416 484,739 473,119 467,502 473,247 447,497 5,491,293
Number of examination at Central Laboratory: Hemostasis system in 2016
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Fibrinogen 854 729 814 896 761 840 764 778 918 978 947 986 10,265
2. Prothrombin Time ( PT ) 8,338 8,036 9,005 8,123 8,374 8,523 8,055 8,698 8,843 8,661 9,146 8,889 102,691
3. Activated Partial Thromboplastin Time(APTT) 6,258 5,656 6,244 5,920 6,020 6,583 5,993 6,155 6,458 6,624 6,671 6,286 74,868
4. D-dimer 374 343 410 387 373 355 403 422 459 390 392 390 4,698
5. Heparin-induced thrombocytopenia (HIT) IgG, rapid test 2 3 7 5 2 4 1 5 4 - 4 2 39
6. Anti Xa Heparin assay 27 15 36 62 29 19 18 43 40 50 26 37 402
Total 15,853 14,782 16,516 15,393 15,559 16,324 15,234 16,101 16,722 16,703 17,186 16,590 192,963

Number of examination at Central Laboratory: Hematology in 2016


Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Hematocrit (Hct) 1,849 1,738 1,995 1,931 1,829 1,758 1,938 2,113 2,020 2,106 2,083 1,868 23,228
2. Platelet count ( Plt ) 8 33 24 10 36 26 28 32 29 35 26 33 320
3. Malaria 4 7 2 5 3 1 2 5 2 4 - 1 36
4. ESR 3,017 2,681 3,127 2,628 2,836 2,778 2,798 3,161 2,881 2,847 3,079 2,806 34,639
5. DCIP 581 610 632 426 4 5 - - - - - - 2,258
6. Reticulocyte 755 742 792 664 729 680 709 793 745 734 719 634 8,696
7. Complete blood count (CBC) 36,544 35,109 39,197 32,787 35,953 35,773 33,899 38,798 36,916 36,762 37,169 35,229 434,136
Total 42,758 40,920 45,769 38,451 41,390 41,021 39,374 44,902 42,593 42,488 43,076 40,571 503,313

131
OTHER MEDICAL SERVICES IN 2016
132
Number of examination at Central Laboratory: Microscopy in 2016
Department of Clinical Pathology, Siriraj Hospital

Number of examination (Test)


STATISTICAL REPORT 2016

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Urine Pregnancy Test 273 315 357 303 391 406 351 379 303 333 312 296 4,019
2. Cell&Diff 514 544 575 536 517 495 516 550 580 466 574 510 6,377
3. pH (Fluid) 29 34 24 21 46 23 32 32 41 17 33 42 374
4. Crystal Joint fluid 59 53 63 60 48 51 51 59 79 42 66 61 692
5. Serum-Osmolality 243 211 267 266 261 255 291 316 394 393 300 281 3,478
6. Urine-Osmolality 352 337 371 364 357 371 407 415 596 569 436 411 4,986
7. Routine Urine Examination 14,754 14,214 16,241 13,647 15,032 14,673 14,027 15,902 15,006 14,747 15,049 14,195 177,487
8. Hemosiderin - Score 6 6 9 8 6 3 5 9 6 4 9 4 75
9. RBC count (Body fluid) 97 104 94 128 123 100 118 117 118 112 102 96 1,309
Total 16,327 15,818 18,001 15,333 16,781 16,377 15,798 17,779 17,123 16,683 16,881 15,896 198,797
Number of examination at Special Laboratory: Serology and Immunology in 2016
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Autoantibody profile 8 3 5 5 2 11 8 18 16 14 20 14 124
2. Autoimmune Liver profile 8 8 15 15 11 6 3 13 7 3 5 8 102
3. Autoimmune Liver Profile Plus - 1 1 1 1 - - - 1 6 - 2 13
4. ANCA Profile 1.(IFA) 33 22 27 27 24 21 28 25 26 16 32 23 304
5. ANCA Profile 2.(ELISA) 13 16 12 12 11 9 13 21 15 10 16 15 163
6. Myositis Profile 21 22 13 13 28 24 25 19 14 20 22 27 248
7. Myositis Profile 4 3 4 1 1 1 5 2 2 4 3 6 2 34
8. Inflammatory Bowel Profile 3 3 3 3 3 4 4 3 4 3 5 2 40
9. Sclerosis Profile - 1 2 2 1 - 1 3 - - 3 - 13
10. ANA 489 489 562 562 510 489 525 548 586 478 504 451 6,193
11. Anti-dsDNA 186 195 203 203 167 149 202 189 163 130 171 139 2,097
12. Anti-Smith (Anti-Sm) 51 50 44 44 34 37 41 42 29 25 34 41 472
13. Anti-nRNP 11 20 20 20 10 6 12 13 7 8 8 11 146
14. Rheumatoid Factor(RF) 119 142 136 136 123 91 145 163 157 129 126 115 1,582
15. Anit.-CCP 44 77 49 49 58 45 78 74 70 63 58 47 712
16. ANCA Ethanol fixed 26 17 14 14 16 10 10 16 18 20 16 19 196
17. Anti-Myeloperoxidase (MPO) (EIA) 10 11 7 7 10 5 3 9 11 9 5 5 92
18. Anti-Proteinase 3(PR3)(EIA) 7 10 4 4 7 5 5 9 12 10 6 4 83

133
OTHER MEDICAL SERVICES IN 2016
134
Number of examination at Special Laboratory: Serology and Immunology in 2016 (cont.)
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
STATISTICAL REPORT 2016

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
19. Anti-Ro (SS-A) 33 57 50 50 29 26 41 42 36 26 30 39 459
20. Anti-LA (SS-B) 33 57 49 49 29 26 40 42 36 24 29 38 452
21. Anti-Mitochondrial AB(AMA) 22 10 16 16 7 8 20 16 11 16 12 13 167
22. Anti - liver Kidney Microsomal Ab (Anti-LKM) 17 18 15 15 17 14 19 14 23 17 8 12 189
23. Anti - Smooth muscie Ab (SMA) 44 29 45 45 30 24 45 30 52 46 37 37 464
24. Anti - Scl 70 16 7 16 16 10 8 8 18 9 13 7 16 144
25. Anti - Centromare 13 7 16 16 9 5 6 15 8 9 7 17 128
26. Anti - Glomerular Basement Mwmbrana (Ant-GBM) 5 8 9 9 7 7 7 12 12 17 13 11 117
27. Anti - Thyroglobulin (Anti-TG) 97 102 133 133 90 111 106 101 110 84 105 66 1,238
28. Anti - Thyroidperoxidase (Anti-TPO) 119 114 140 140 122 120 131 126 132 102 118 82 1,446
29. Anti - TSH receptor lgG 70 97 97 97 90 80 84 104 106 104 96 102 1,127
30. CH 50 5 10 6 6 4 11 9 12 7 12 4 8 94
31. Anti-Cardiolipin lgG 56 93 97 97 95 86 76 109 98 74 67 81 1,029
32. Anti-Cardiolipin lgM 49 78 97 97 87 77 75 100 85 67 65 78 955
33. Anti-Cardiolipin lgA 1 2 4 4 3 4 9 5 1 5 2 2 42
34. Anti-Beta-2 glycoprotein 1 IgGBeta2 IgG 62 71 92 92 84 77 74 97 94 67 71 80 961
35. Anti-Beta-2 glycoprotein 1 IgGBeta2 IgM 67 77 97 97 87 78 76 107 100 73 75 83 1,017
36. Anti-Beta-2 glycoprotein 1 IgGBeta2 IgA 1 1 5 5 2 3 4 3 3 3 4 1 35
Number of examination at Special Laboratory: Serology and Immunology in 2016 (cont.)
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
37. Anti-acetylcholine receptor - 2 4 4 1 4 3 2 2 1 2 3 28
38. VDRL 2,309 2,337 2,527 2,527 2,295 2,267 2,197 2653 2,386 2,116 2,291 1,984 27,889
39. VDRL(CSF) 19 20 20 20 29 24 19 38 27 34 31 24 305
40. TPHA 140 137 167 167 108 143 150 173 167 140 134 136 1,762
41. FTA-ABS IgG 8 7 11 11 7 5 11 12 9 11 9 11 112
42. FTA-ABS IgM 3 2 5 5 4 1 5 2 2 1 2 6 38
43. FTA-ABS IgG (CSF) - 2 - - - - 2 3 1 2 3 1 14
44. FTA-ABS IgM (CSF) - 1 - - - - - - - - 3 1 5
45. Anti - T.pallidum. lgM (Western blot) 2 1 4 4 2 - 1 - - 1 3 - 18
46. Anti - T.pallidum. lgG (Western blot) 1 - 1 1 - - 1 - - 1 1 - 6
47. Syphilis CMIA - - - - - - - - - - - - 0
48. Melioid Titer 14 16 24 24 14 11 18 15 12 9 16 22 195
49. Cold agglutinin Titer 1 - - - 1 2 4 - - - 1 - 9
50. High sensitivity CRP 118 89 118 105 125 112 71 131 96 186 197 167 1,515
51. C-Reactive Protein 1,757 1,648 1,842 1,638 1,643 1,635 1,717 1980 1,747 1,762 1,721 1,597 20,687
Total 6,114 6,191 6,825 6,608 6,048 5,886 6,134 7,129 6,512 5,970 6,201 5,643 75,261

135
OTHER MEDICAL SERVICES IN 2016
136
Number of examination at Special Laboratory: Hemostasis system in 2016
Department of Clinical Pathology, Siriraj Hospital

Number of examination (Test)


STATISTICAL REPORT 2016

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Protein C 28 30 27 28 35 30 25 33 34 24 22 24 340
2. Protein S 33 24 28 31 36 29 27 35 36 25 25 25 354
3. Antithrombin activity (AT) 26 19 21 31 33 20 19 24 26 17 32 25 293
4. LUPUS ANTICOAGULANT 295 268 317 308 336 294 292 398 367 323 327 350 3,875
Total 382 341 393 398 440 373 363 490 463 389 406 424 4,862

Number of examination at Special Laboratory: Infant Down Syndrome Screening Test in 2016
Department of Clinical Pathology, Siriraj Hospital

Number of examination (Test)


Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Profile 1 (Double Markers Screening) 53 64 99 81 88 69 76 91 90 89 98 84 982
2. Profile 3 (Quadruple Markers Screening) 17 21 28 46 29 20 28 19 35 15 25 19 302
3. Profile 4 (Five Markers Screening) - - - - - - - - - - 1 - 1
4. Profile 5 (Second sample Markers Screening) - - - - - - 1 - - - - - 1
Total 70 85 127 127 117 89 105 110 125 104 124 103 1,286
Number of examination at Molecular Clinical Pathology Laboratory in 2016
Department of Clinical Pathology, Siriraj Hospital

Number of examination (Test)


Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. TCRB rearrangement 2 - 1 1 1 - 1 1 1 - 1 1 10
2. TCRG rearrangement - - 2 1 1 1 1 1 - 1 - - 8
3. TCRD rearrangement - - 1 1 1 - 1 1 - - 1 1 7
4. IGH rearrangement 1 1 1 - 1 - - 1 - - 2 - 7
5. IGK rearrangement - 1 - - - - - - - - 1 - 2
6. KRAS mutation 18 11 15 7 3 3 3 10 9 4 8 5 96
7. EGFR mutation 30 33 26 25 33 31 24 33 48 32 39 51 405
Total 51 46 46 35 40 35 30 47 58 37 52 58 535

Number of examination at Point of Care (Glucose) in 2016


Department of Clinical Pathology, Siriraj Hospital

Number of examination (Test)


Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. POCT 1,677 1,739 1,874 1,627 1,741 1,821 1,743 1,963 2,041 2,050 2,153 1,939 22,368

137
OTHER MEDICAL SERVICES IN 2016
STATISTICAL REPORT 2016

Statistics of Department of Pharmacology


Number of laboratory services in 2016, classified by services, Siriraj Hospital

Price January February March April May June


Detail
(Baht) Number Bath Number Bath Number Bath Number Bath Number Bath Number Bath

1. Allergen Vaccine for immunotherapy (bottle)


Official working hour
10 PNU/ml 100 0 0 1 100 0 0 1 100 0 0 0 0
100 PNU/ml 100 1 100 1 100 0 0 1 100 1 100 0 0
1,000 PNU/ml 200 1 200 2 400 0 0 3 600 1 200 0 0
10,000 PNU/ml 500 7 3,500 14 7,000 4 2,000 9 4,500 7 3,500 26 13,000
Outside of official hour
10 PNU/ml 100 0 0 0 0 0 0 0 0 0 0 0 0
100 PNU/ml 100 0 0 1 100 0 0 0 0 0 0 0 0
1,000 PNU/ml 200 1 200 1 200 0 0 2 400 0 0 0 0
10,000 PNU/ml 500 1 500 3 1,500 1 500 2 1,000 2 1,000 1 500
2. Allergen Vaccine for skin test (Person)
Prick test liquid during official working hour 500 0 0 0 0 0 0 0 0 0 0 0 0
ID test liquid during official working hour 300 0 0 7 2,100 0 0 0 0 12 3,600 0 0
3. Steriol level test (Person)
In the hospital 280 0 0 3 840 3 840 0 0 0 0 0 0
Out the hospital 280 0 0 0 0 0 0 0 0 0 0 0 0
4. Bioanalysis for drug and/or metabolite concentrations
in samples from preclinical and clinical studies for clinical pharmacology
4.1 Bioanalysis LCMS-LLE-1
ID Hospital 771031 940 0 0 0 0 0 0 0 0 0 0 238 223,720
4.2 Bioanalysis LCMS-LLE-2
ID Hospital 771035 1,140 0 0 0 0 0 0 0 0 0 0 0 0
4.3 Bioanalysis LCMS-LLE-3
ID Hospital 771039 1,235 0 0 0 0 0 0 0 0 0 0 0 0
4.4 Bioanalysis LCMS-SPE-1
ID Hospital 771033 990 0 0 0 0 0 0 0 0 0 0 0 0
4.5 Bioanalysis LCMS-SPE-2
ID Hospital 771037 1,440 0 0 0 0 0 0 0 0 0 0 0 0
4.6 Bioanalysis LCMS-SPE-3
ID Hospital 771041 1,540 0 0 0 0 0 0 0 0 0 0 0 0
Total 11 4,500 33 12,340 8 3,340 18 6,700 23 8,400 265 237,220

138
OTHER MEDICAL SERVICES IN 2016

Number of laboratory services in 2016, classified by services (cont.)


Department of Pharmacology, Siriraj Hospital

July August September October November December Total


Detail
Number Bath Number Bath Number Bath Number Bath Number Bath Number Bath Number Bath

1. Allergen Vaccine for immunotherapy (bottle)


Official working hour
10 PNU/ml 0 0 0 0 0 0 0 0 0 0 0 0 2 200
100 PNU/ml 0 0 0 0 0 0 0 0 0 0 0 0 4 400
1,000 PNU/ml 0 0 1 200 0 0 0 0 0 0 0 0 8 1,600
10,000 PNU/ml 4 2,000 13 6,500 15 7,500 12 6,000 7 3,500 11 5,500 129 64,500
Outside of official hour
10 PNU/ml 0 0 0 0 0 0 0 0 1 100 0 0 1 100
100 PNU/ml 1 100 0 0 1 100 0 0 1 100 0 0 4 400
1,000 PNU/ml 1 200 0 0 1 200 0 0 1 200 0 0 7 1,400
10,000 PNU/ml 3 1,500 0 0 4 2,000 1 500 0 0 3 1,500 21 10,500
2. Allergen Vaccine for skin test (Person)
Prick test liquid during official working hour 8 4,000 0 0 6 3,000 9 4,500 0 0 1 500 24 12,000
ID test liquid during official working hour 5 1,500 0 0 7 2,100 0 0 0 0 3 900 34 10,200
3. Steriol level test (Person)
In the hospital 0 0 0 0 1 280 0 0 0 0 1 280 8 2,240
Out the hospital 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Bioanalysis for drug and/or metabolite concentrations
in samples from preclinical and clinical studies for clinical pharmacology
4.1 Bioanalysis LCMS-LLE-1
ID Hospital 771031 0 0 0 0 0 0 0 0 90 84,600 88 82,720 416 391,040
4.2 Bioanalysis LCMS-LLE-2
ID Hospital 771035 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4.3 Bioanalysis LCMS-LLE-3
ID Hospital 771039 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4.4 Bioanalysis LCMS-SPE-1
ID Hospital 771033 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4.5 Bioanalysis LCMS-SPE-2
ID Hospital 771037 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4.6 Bioanalysis LCMS-SPE-3
ID Hospital 771041 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 22 9,300 14 6,700 35 15,180 22 11,000 100 88,500 107 91,400 658 494,580

139
140
Statistics of Department of Radiology
Number of patients in 2016, classified by patient's type, Out-patients unit
Division of Radiotherapy, Siriraj Hospital
STATISTICAL REPORT 2016

Number of visits
Patient's type
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
1. Consulted patient 256 235 309 230 212 281 245 286 290 186 247 269 3,046
2. Planning 138 122 135 99 114 148 133 135 144 148 149 115 1,580
3. Treated patient (F/U during RT) 521 551 666 377 389 602 414 464 571 435 466 332 5,788
4. Followed up patient 1,191 1,066 1,236 1,007 1,167 12,112 1,050 1,079 1,421 1,079 1,371 1,182 24,961
5. Acitivity / Operation
5.1 Pap Smear 293 273 308 184 293 257 256 238 380 231 250 258 3,221
5.2 Anesthesia service 2 2 4 2 4 3 2 2 3 - 1 1 26
5.3 ENT Endoscopy 6 2 7 2 2 15 7 5 9 - 8 11 74
5.4 Venipuncture 18 24 23 12 32 34 18 25 26 29 42 36 319
5.5 Injection/ Medical Contrast Medium 53 48 53 35 55 64 48 65 53 60 71 58 663
5.6 Dressing 22 39 20 19 23 19 11 26 36 8 21 38 282
5.7 NG Tube Insertion 1 7 - 2 2 5 3 8 4 8 5 3 48
5.8 Other 12 10 11 7 6 9 10 13 15 14 12 16 135
Number of patients and Bed Occupancy Rate in 2016, classified by bed type, In-patients Unit
Division of Radiotherapy, Department of Radiology, Siriraj Hospital
Bed Occupancy Rate
Number of new patient Length of Stay (LOS) Death
Private Room Curtained Room Common Room
Month
72/9 West 72/6 East 72/6 East 72/9 West 72/6 East 72/9 West 72/6 East 72/9 West 72/6 East West East
(visit) (visit) (visit) (%) (visit) (%) (visit) (%) (visit) (%) (visit) (%) (Day) (Day) (visit) (visit)
January 13 39 12 70.05 2 26.90 8 69.35 11 60.75 19 58.06 138 323 - -
February 14 38 13 65.02 3 21.80 3 58.62 11 64.37 22 60.10 247 288 - 1
March 20 52 18 63.13 3 16.13 6 88.71 17 49.46 28 54.84 257 311 1 2
April 13 31 12 36.67 2 32.22 5 41.67 11 49.44 19 51.43 118 210 - 1
May 12 37 16 49.31 3 12.90 4 56.45 9 66.13 17 57.14 233 266 1 2
June 18 40 19 49.52 4 23.33 5 33.33 14 63.89 16 60.95 285 252 2 -
July 20 32 14 33.18 4 20.43 5 66.13 16 37.10 13 27.65 219 173 1 -
August 13 43 15 45.24 - 33.33 4 45.00 13 41.11 24 49.52 245 226 - -
September 16 51 21 53.46 3 30.11 1 85.48 13 44.09 29 47.00 235 271 - -
October 13 42 15 36.41 1 24.73 4 64.52 12 50.54 18 68.66 245 268 - 1
November 13 41 14 48.57 3 7.78 4 48.33 10 46.67 23 67.14 94 272 1 1
December 14 34 16 40.55 2 61.29 6 59.68 12 73.55 12 58.06 118 251 2 -

141
OTHER MEDICAL SERVICES IN 2016
142
Number of patients in 2016, classified by unit
Division of Radiotherapy, Department of Radiology, Siriraj Hospital

Number of visits
STATISTICAL REPORT 2016

Clinic Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Health Education and Rehabilitation
Health Education Service at the Health Education Room 303 338 377 256 393 310 264 347 363 295 411 414 4,071
Health Education service at Radiation room 577 590 631 396 372 579 292 596 503 485 492 364 5,877
Radioactive unit
New patients 25 30 29 19 14 20 20 23 33 32 32 13 290
Fraction 91 93 113 58 52 96 66 106 104 5 124 62 970
Medical Physics Unit :Treatment Planning
Manual Calculation 25 20 32 16 25 28 15 20 29 32 19 21 282
Computerized treatment planning 111 105 108 67 79 106 93 116 104 84 116 89 1,178
Fractionated radiotherapy 3 2 6 4 - 5 9 4 5 4 4 5 51
Radiology Center
CLINAC 23 FX (L3) 593 502 567 14* Close 1,662
CLINAC 2100 C (L4) 2,052 2,141 1,992 1,391 1,581 1,966 1,676 2,122 2,372 1,959 2,166 1,929 23,347
True Beam STx (L5) 314 417 712 460 468 550 408 486 507 485 418 398 5,623
Conventional simulator 72/1 162 149 151 101 115 142 118 147 148 127 148 129 1,637
CT SIMULATOR 236 251 237 170 176 261 192 224 243 211 266 199 2,666

Note : * Close 7 Apirl 2016


Number of patients in 2016, classified by examination
Division of Diagnostic Radiology, Department of Radiology, Siriraj Hospital

Number of services
Examination type
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total

Common Radiograph 30,069 29,383 33,539 28,281 29,829 31,044 29,051 33,622 30,901 31,000 31,759 30,786 369,264

Ultrasound 3,693 3,687 4,259 3,186 3,506 4,143 6,091 4,340 4,296 3,937 4,085 3,813 49,036

X-ray Computer 4,647 4,571 4,822 4,347 4,478 4,344 4,439 4,807 4,667 4,417 4,665 4,335 54,539

Blood System Test 369 308 361 309 343 396 313 365 377 341 351 346 4,179

MRI 1,134 1,133 1,265 995 1,103 1,195 1,092 1,188 1,200 1,123 1,256 1,147 13,831

Media Contrast Examination 250 288 312 226 264 291 233 297 248 255 274 292 3,230

Total 40,162 39,370 44,558 37,344 39,523 41,413 41,219 44,619 41,689 41,073 42,390 40,719 494,079

Number of patients 33,713 32,784 36,833 30,974 33,301 34,518 32,422 37,382 34,819 34,062 35,256 33,825 409,889

143
OTHER MEDICAL SERVICES IN 2016
144
Number of services in CT Scan in 2016, classfied by organ system
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital
Radiopharmaceutical Number of visits
Organ System
STATISTICAL REPORT 2016

(type of examination) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
BONE SCAN Sm - 153 EDTMP - - - - - - - - - - 1 - 1
Tc - 99 MDP 276 302 303 188 239 207 262 317 159 218 321 312 3,104
BONE DENSITY - - - - - - - - - - 44 37 81
BRAIN SCAN Tc - 99m ECD 2 - - - 9 2 2 2 - 4 3 - 24
Breast Tc-99m MIBI - - - 1 - - - - - 6 - - 7
CARDIAC (MUGA) Tc - 99m RBC 47 51 74 56 48 69 43 47 18 49 65 70 637
MYOCARDIAL PERFUSION IMAGING Tc - 99m MIBI 11 9 20 - 8 17 11 18 - - 41 11 146
GI SYSTEM Tc - 99m HSA (protein losing) - - 2 - 3 1 - - - - 4 2 12
Tc - 99m 04 (Meckle's) - - - 1 - - 1 - - 2 - - 4
Tc - 99m Phytate (bleeding) - - - 1 - - - - - - - - 1
Tc - 99m Phytate (Soild) - 1 - - - - - 1 - 3 1 3 9
Tc - 99m RBC (bleeding) - - - - 2 - - - - 2 - - 4
HEPATOBILIARY SCAN Tc - 99m IDA Componds - - - 2 6 1 - - 4 - 1 2 16
RENAL SCAN Tc - 99m DMSA 10 4 8 10 5 6 3 2 - 6 5 6 65
Tc - 99m DTPA 2 4 2 1 1 4 7 6 - 5 3 6 41
Tc- 99m MAG3 26 19 20 15 20 19 25 32 - 23 23 11 233
Tc - 99m MAG3 (captopril) - - - - - 2 - - - - - 1 3
Tc - 99m MAG3 (Voiding) indirect - - - 1 - - 1 - - 2 - 4
Tc - 99m (voiding) direct 2 - - - - 1 - 1 - - - - 4
LUNG SCAN Tc - 99m MAA 9 6 8 7 6 4 5 6 2 6 8 5 72
Tc - 99m Technegas 8 6 7 6 3 4 3 5 2 6 9 3 62
Number of services in CT Scan in 2016, classfied by organ system (cont.)
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital
Radiopharmaceutical Number of visits
Organ System
(type of examination) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
LYMPHATIC SCAN Tc - 99m Dextran 16 13 19 17 21 11 12 35 5 14 25 16 204
SENTINEL NODE Tc - 99m Dextran 1 - - - 1 - 4 - - 11 1 3 21
PARATHYROID SCAN Tc - 99m MIBI - 11 - - - - - 8 - - - - 19
Tc - 99m O4 / Tc - 99m MIBI 5 - 7 6 10 8 5 2 1 4 8 7 63
SALIVARY SCAN Tc - 99m Pertechnetate - - - - 1 - 2 - - - - - 3
THYROID SCAN I - 131 1 - - - - - - 1 - 3 1 - 6
Tc - 99m Pertechnetate 36 37 50 22 36 48 36 48 40 47 38 38 476
TOTAL BODY SCAN I - 131 (TBS) 41 19 39 18 22 31 25 34 35 30 26 36 356
I - 131 ( Post treatment) 37 37 33 22 28 35 44 39 42 41 43 37 438
TUMOUR SCAN I - 131 MIBG 8 6 7 2 3 3 - 4 - 4 5 11 53
Tc - 99m MIBI - 1 - 1 - - - - - - - - 2
Tc - 99m Hynic-TOC - - - - - - - - - 1 - - 1
Gallium (Ga - 67) 9 7 16 2 14 - 12 - - - - 11 71
TUMOUR F - 18 FDG 22 28 30 24 18 30 23 42 56 34 51 52 410
VASCULAR Tc - 99m RBC - - - - - - - - - 1 - - 1
INFECTION SCAN Tc - 99m WBC - 1 - - - - - 2 - - - - 3
Gallium (Ga - 67) - - - - - 12 - 5 - 4 3 - 24
OTHERS 33 32 25 10 17 39 1 25 20 18 23 18 261
Total 602 594 670 413 521 554 527 682 384 544 753 698 6,942

145
OTHER MEDICAL SERVICES IN 2016
146
Number of other services than scanning (1) in 2016, classified by work type
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital
STATISTICAL REPORT 2016

Number of visits
Type of work
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
1. Blood Volumn - 1 - - - - - - - - 2 1 4
2. Thyroid Function Test (In vivo)
I - 131 uptake 94 82 99 54 83 86 51 90 88 104 88 88 1,007
Perchlorate washout - - - - - - - - - - 1 - 1
Total 94 82 99 54 83 86 51 90 88 104 89 88 1,008
3. Treatment
Thyroid Cancer
Traditional treatment 13 11 21 9 12 23 17 18 22 13 13 12 184
Modern treatment 27 23 21 19 17 17 21 19 9 19 31 17 240
Follow up 568 472 584 366 612 488 526 625 551 479 526 521 6,318
Total 608 506 626 394 641 528 564 662 582 511 570 550 6,742
Toxic Goiter
Traditional treatment 18 15 15 13 11 11 13 10 6 6 11 13 142
Modern treatment 39 26 45 22 36 34 17 33 13 21 28 31 345
Follow up 335 299 396 231 328 398 273 365 307 315 325 319 3,891
Total 392 340 456 266 375 443 303 408 326 342 364 363 4,378
Total 1,094 929 1,181 714 1,099 1,057 918 1,160 996 957 1,025 1,002 12,132
Number of other services than scanning (2) in 2016, classified by work type
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital

January February March April May June


Type of work Blood Number Blood Number Blood Number Blood Number Blood Number Blood Number
sample of patients sample of patients sample of patients sample of patients sample of patients sample of patients
4. Laboratory Thyroid Function Test (In Vitro) - 803 - 729 - 904 - 601 - 903 - 834
T3 115 - 90 - 151 - 75 - 120 - 109 -
T4 526 - 496 - 610 - 399 - 639 - 578 -
TSH 670 - 604 - 761 - 487 - 785 - 693 -
FT3 8 - 6 - 6 - 6 - 5 - 3 -
FT4 148 - 115 - 156 - 93 - 150 - 124 -
External Quality Control (UK KEQAS) 25 5 25 5 25 5 25 5 25 5 25 5
External Quality Control (RIDAS) - - - - - - - - - - - -
Other (RJ & AS) 7 1 7 2 7 2 7 2 6 2 - 2
Total 1,499 809 1,343 736 1,716 911 1,092 608 1,730 910 1,532 841
5. Tumour Maker
Tg 402 - 328 - 424 - 272 - 415 - 384 -
TgAb 318 - 272 - 351 - 213 - 311 - 298 -
Other - - - - 12 - - - - - - -
Total 720 - 600 - 787 - 485 - 726 - 682 -
Total 2,219 809 1,943 736 2,503 911 1,577 608 2,456 910 2,214 841

147
OTHER MEDICAL SERVICES IN 2016
148
Number of other services than scanning (2) in 2016, classified by work type (cont.)
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital

July August September October November December Total


STATISTICAL REPORT 2016

Type of work Blood Number Blood Number Blood Number Blood Number Blood Number Blood Number Blood Number
sample of patients sample of patients sample of patients sample of patients sample of patients sample of patients sample of patients
4. Laboratory Thyroid Function Test (In Vitro) - 783 - 928 - 815 - 761 - 833 - 825 - 8,886
T3 94 - 134 - 114 - 92 - 108 - 114 - 1,208 -
T4 543 - 634 - 563 - 507 - 562 - 566 - 6,061 -
TSH 666 - 791 - 692 - 636 - 713 - 709 - 7,494 -
FT3 4 - 6 - 4 - 9 - 7 - - - 57 -
FT4 122 - 158 - 133 - 132 - 149 - - - 1,480 -
External Quality Control (UK KEQAS) 25 5 25 - 25 5 25 - 25 - 25 5 275 45
External Quality Control (RIDAS) - - - - - - 7 5 7 5 7 2 21 12
Other (RJ & AS) - 2 7 - 7 2 18 2 5 2 4 - 70 17
Total 1,454 790 1,755 928 1,538 822 1,426 768 1,576 840 1,425 832 16,666 8,960
5. Tumour Maker
Tg 380 - 418 - 377 - 332 - 400 - 396 - 4,528 -
TgAb 304 - 334 - 300 - 251 - 296 - 297 - 3,545 -
Other - - - - - - - - - - - 12 -
Total 684 - 752 - 677 - 583 - 696 - 693 - 8,085 -
Total 2,138 790 2,507 928 2,215 822 2,009 768 2,272 840 2,118 832 24,751 8,960
Statistics of Department of Immunology
Number of patients in 2016, classified by diagnosis type, Siriraj Hospital
Number of visits
Diagnosis type Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Serology Diagnosis
1.1 Tumor marker
AFP 1,222 1,177 1,279 1,089 1,304 1,313 1,155 1,412 1,250 1,253 1,287 1,276 15,017
b-HCG 205 257 290 259 230 291 248 294 280 230 230 284 3,098
CEA 1,267 1,162 1,333 1,092 1,365 1,300 1,216 1,587 1,325 1,302 1,374 1,355 15,678
CA 15-3 69 61 66 61 71 65 78 120 82 95 72 72 912
CA 19-9 393 367 418 355 414 436 389 441 386 391 396 400 4,786
CA 125 439 430 580 416 466 501 444 499 444 462 486 464 5,631
PSA 1,989 1,791 2,274 1,884 2,081 2,002 1,890 2,168 2,013 2,012 2,237 2,007 24,348
NSE 10 14 19 16 15 19 21 14 25 21 27 23 224
Free PSA 25 27 25 26 34 23 23 27 30 36 25 36 337
HE4 8 6 11 5 9 11 8 11 7 7 13 8 104
1.2 Monoclonal gammopathies
Serum protein zone electrophoresis 169 156 185 128 190 178 141 192 170 181 210 179 2,079
Immunofixation 169 175 183 129 195 178 144 177 154 188 200 177 2,069
Free light chain immunoglobulin 172 171 183 149 197 166 158 181 154 161 189 204 2,085
Beta-2 microglobulin 10 17 16 15 15 17 13 11 11 23 29 37 214

149
OTHER MEDICAL SERVICES IN 2016
150
Number of patients in 2016, classified by diagnosis type (cont.)
Department of Immunology, Siriraj Hospital
Number of visits
Diagnosis type Total
STATISTICAL REPORT 2016

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1.3 Immunoglobulin and Complement level
C3 122 118 136 119 89 102 96 109 82 82 104 89 1,248
C4 87 84 106 100 70 80 72 81 65 53 77 67 942
IgG subclass 24 23 15 17 13 12 18 20 22 21 27 25 237
IgG 71 64 101 61 61 73 66 67 80 72 63 79 858
IgA 14 12 22 11 9 18 19 16 18 19 16 17 191
IgM 19 21 25 13 14 28 20 18 21 23 17 22 241
IgE 44 38 40 29 31 44 46 36 50 38 35 38 469
1.4 Autoimmune
Anti - Streptolysin O 17 15 29 11 18 15 16 16 22 12 16 13 200
Anti - DNase B 14 11 13 10 13 8 10 26 36 21 36 16 214
Anti-IFN-gamma autoAb 34 28 28 13 24 30 21 28 31 25 34 20 316
2. Cellular Diagnosis
2.1 Lymphocyte subpopulation
CD3+ T cell 8 6 6 5 8 9 13 14 12 10 11 9 111
CD4+ T cell 470 537 563 505 597 474 416 560 387 434 414 338 5,695
CD8+ T cell 56 65 57 44 49 48 36 48 17 14 17 12 463
B cell 9 6 10 5 10 10 12 15 20 7 9 11 124
NK cell 17 16 23 10 28 22 18 28 23 34 27 21 267
Number of patients in 2016, classified by diagnosis type (cont.)
Department of Immunology, Siriraj Hospital
Number of visits
Diagnosis type Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2.2 Immune function
Anti-Tetanus Toxoid IgG 0 0 0 0 1 3 0 1 2 2 2 0 11
Anti-Pneumococcal IgG 6 3 3 0 4 4 5 13 7 6 6 2 59
IFN-gamma release assay for TB 30 72 78 26 26 34 35 53 43 40 37 46 520
Phagocytosis (DHR assay) 5 1 9 6 6 11 4 9 12 8 12 7 90
Mitogen stimulation 1 4 2 6 3 6 4 9 6 0 3 4 48
Antigen stimulation 1 1 1 2 1 1 2 2 1 0 2 0 14
IFN-gamma R 2 0 0 1 2 1 0 0 1 1 1 1 10
IL-12 R 2 0 0 1 2 1 0 0 3 1 1 1 12
3. Molecular diagnosis
HBV viral load 961 977 1,032 891 1,011 989 921 1,018 963 961 993 940 11,657
HCV viral load 95 88 116 86 123 136 122 144 120 114 142 138 1,424
HCV genotype 32 30 42 20 30 48 43 43 51 19 31 28 417
4. Drug hypersensitivity
LTT 1 type drug 0 0 0 0 0 0 1 0 0 0 0 0 1
LTT 2 type drug 0 0 0 0 2 0 0 0 0 0 0 0 2
LTT Lamotrigine drug 0 0 0 0 0 0 0 0 0 0 0 0 0
LTT Lamotrigine and 1 type drug 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 8,288 8,031 9,319 7,616 8,831 8,707 7,944 9,508 8,426 8,379 8,908 8,466 102,423

Remark: 0 refers to operational lab, No test

151
OTHER MEDICAL SERVICES IN 2016
152
Statistics of Department of Anesthesiology
Number of patients services in 2016, classified by unit, Siriraj Hospital
STATISTICAL REPORT 2016

Number of visits
Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Division of Anesthesia 3,975 4,029 4,490 3,872 3,955 4,427 3,899 4,454 4,399 4,073 4,294 4,122 49,989
ICU 83 60 47 59 42 50 64 62 63 54 59 70 713
Pain clinic 474 520 555 471 519 522 473 590 591 524 569 445 6,253
Acute Pain Service (APS) 126 127 200 125 128 170 132 164 162 153 140 126 1,753
SiPAC 455 492 564 433 452 520 477 420 515 491 484 474 5,777
Total 5,113 5,228 5,856 4,960 5,096 5,689 5,045 5,690 5,730 5,295 5,546 5,237 64,485
OTHER MEDICAL SERVICES IN 2016

Number of Anesthesia services in 2016, classified by patient's type


Department of Anesthesiology, Siriraj Hospital

Patients Number of visits


In-Patient 35,989
Out-Patient 9,059
Special clinic 4,941
Total 49,989
Elective case 46,326
Emergency case 3,663
Total 49,989

153
STATISTICAL REPORT 2016

Number of Anesthesia Services in 2016, classified by services unit


Department of Anesthesiology, Siriraj Hospital

Number
Unit
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
ORT 392 407 463 360 412 453 380 444 406 391 420 415 4,943
EYE 125 119 151 122 128 129 97 131 106 102 128 123 1,461
ENT 277 314 347 240 307 316 260 335 301 290 292 315 3,594
CVT 124 144 143 138 148 157 142 157 159 138 156 141 1,747
NEU 170 144 183 145 138 174 158 157 171 133 171 151 1,895
PLA 86 71 86 76 69 77 77 86 78 64 67 73 910
HN&B 131 129 159 114 136 149 130 147 164 144 176 143 1,722
URO 219 239 245 193 211 232 225 232 243 244 241 240 2,764
PED 125 132 151 140 141 128 131 124 142 155 141 127 1,637
VAS 158 130 119 123 128 153 137 153 145 142 165 143 1,696
HPB 75 72 90 72 80 76 57 74 73 67 90 64 890
MIS 146 139 173 138 167 187 136 173 148 142 106 140 1,795
COLO 90 80 85 100 70 95 112 106 106 80 91 91 1,106
TRA 91 74 112 74 72 101 79 97 96 95 109 82 1,082
OBS 322 270 303 376 338 280 326 381 368 329 336 329 3,958
LR 16 33 14 12 12 31 4 12 13 11 8 0 166
GYN 307 291 338 265 285 300 262 336 327 313 340 317 3,681
GI endo.scope 758 871 930 836 786 949 856 944 923 879 878 864 10,474
RAD 158 180 205 176 147 221 156 178 210 159 152 163 2,105
MRI 36 29 39 26 30 36 32 34 28 32 36 41 399
PSY 26 7 11 33 26 33 25 27 33 51 33 29 334
DEN 4 5 6 5 3 7 7 7 7 3 7 10 71
Cath Lab 117 123 120 101 108 131 99 112 138 102 141 113 1,405
MRA 0 4 4 5 4 1 0 0 4 3 5 0 30
MED 16 9 10 2 4 3 5 3 4 4 1 0 61
อน.6 6 13 3 0 5 8 6 4 6 0 4 8 63
Total 3,975 4,029 4,490 3,872 3,955 4,427 3,899 4,454 4,399 4,073 4,294 4,122 49,989

154
OTHER MEDICAL SERVICES IN 2016

Statistics of Department of Transfusion Medicine


Number of services and working in 2016, classified by working type, Siriraj Hospital

List Unit Number


1. Recruited blood donors donor 80,635
2. Eligible whole blood donors 55,644
2.1 Voluntary blood donors donor 50,740
2.2 Replacement blood donors donor 4,866
2.3 Directed blood donors donor 10
2.4 Autogous blood donors donor 28
3. Mobile blood donation units unit 236
4. Blood unit testing
4.1 Number of donors donor 56,589
4.2 Number of tests tests 396,123
5. Apheresis donation donation 1,537
6 Peripherral blood Stem cells collection
6. donation 178
7. Blood letting case 88
8. Blood component preparation unit 148,800
9. Blood transfusion service
9.1 Requests of blood components request 47,679
9.2 Immunohematology tests test 143,037
9.3 Red cell crossmatching unit 85,862
9.4 Transfusion reaction investigation case 182
9.5 Issuing of blood component time 53,368
10. Transfused blood components
10.1 Whole blood unit 13
10.2 Packed red cell unit 30,045
10.3 Leukocyte poor blood unit 15,277
10.4 Prestorage filtered blood unit 7,624
10.5 Platelet concentrate unit 11,775
10.6 Leukocyte poor platelet concentrate ( 4,681 bags) unit 27,934
10.7 Single donor platelet pheresis (2,714 bags) unit 17,099
10.8 Fresh frozen plasma unit 18,961
10.9 Cryoprecipitate unit 18,101

155
STATISTICAL REPORT 2016

Number of services and working in 2016, classified by working type (cont.)


Department of Transfusion Medicine, Siriraj Hospital

List Unit Number


11. HLA/DNA Laboratory
11.1 HLA Class I typing
- Serology case 610
- DNA case 350
11.2 HLA Class II typing DNA case 419
11.3 HLA antibody identification
- HLA Class I case 350
- HLA Class II case 419
11.4 HLA Lymphocyte Separation case 3,117
11.5 Lymphocyte crossmatch
F organ transplant
- For t l t pairi 81
- For platelet transfusion unit 2,464
11.6 HLA / platelet antibody screening case 126
11.7 In-house HLA typing tray
- HLA class I (A,B) typing tray (60 well x 2 Tray / kit) kit 600
- HLA B27 typing tray (24 well x 1 Tray / kit) kit 300
11.8 Siriraj In-house products: kit and reagent
1. HLA typing tray
- HLA class I (A,B) typing tray (60 well x 2 Tray / kit) kit 440
- HLA B27 typing tray (24 well x 1 Tray / kit) kit 250
2. 1% Papain reagent kit 14
3. Screen cells for red blood cell screening kit 96
4. Panel cells for red blood cell identification kit 75
5. Anti Mia kit 10

156
OTHER MEDICAL SERVICES IN 2016

Statistics of Department of Preventive and Social Medicine


Number of treatment services in 2016, classified by clinic, Siriraj Hospital

Clinic Number
Cardiovascular Disease Prevention Clinic 3,590
Infectious Disease and Immune Deficiency Clinic 11,877
Geriatric Medicine Clinic 5,208
Vaccination Immune Clinic 49,701
Health Services Unit for Staff and Occupational Health 15,257
Student Walfare Unit 7,982
Clinic of Thai Laborer Going Abroad -
Health Screening and Check-up Clinic 6,579
Health Assessment Clinic for Government Scholars 176
Occupational and Environmental Mendicine Clinic 259
Occupational and Environmental Lung Disease Clinic 2,630

157
158
Statistics of Department of Orthopaedic Surgery
Number of patients in each month in 2016, classified by unit, Siriraj Hospital
STATISTICAL REPORT 2016

Number of visits
Unit
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
Orthopaedic Unit (OPD118) 4,693 4,856 5,764 4,639 4,982 5,472 4,498 5,484 5,188 4,744 5,107 4,752 60,179
Orthopaedic Surgery Follow-up Unit (Fuek-Syamindra) 2,429 2,519 3,216 2,456 2,497 2,990 2,452 2,886 2,852 2,696 3,026 2,875 32,894
Orthopaedic Unit (Trauma Building) 670 666 789 624 705 779 675 650 575 561 554 592 7,840
Division of Sports Medicine (4th Floor, Lottery Building) 999 1,037 1,129 807 952 1,147 914 1,136 1,007 922 1,140 1,042 12,232
Hand Clinic 32 45 63 60 73 46 45 40 32 25 18 7 486
Physiotherapy Clinic (10th Floor, Chalermphrakiet 2,240 2,477 2,703 2,148 2,560 3,087 2,642 3,337 3,122 2,708 3,148 2,767 32,939
Building, North)
Building, North)
Spinal Unit - 18 24 22 14 17 13 35 18 12 13 1 187
Total 11,063 11,618 13,688 10,756 11,783 13,538 11,239 13,568 12,794 11,668 13,006 12,036 146,757
OTHER MEDICAL SERVICES IN 2016

Number of In-patients and dead in each month in 2016, classified by gender


Department of Orthopaedic Surgery, Siriraj Hospital

Number of Discharged patients (visit)


Month Dead Patient
Male Female Total
January 164 224 388 1
February 156 244 400 1
March 187 247 434 0
April 171 223 394 1
May 173 237 410 3
June 179 270 449 1
July 171 246 417 1
August 199 220 419 0
September 178 230 408 1
October 154 253 407 1
November 201 231 432 0
December 194 273 467 1
Total 2,127 2,898 5,025 11

159
STATISTICAL REPORT 2016

Statistics of Department of Surgery


Number of patients in 2016, classified by patient's type
Division of Trauma Surgery, Siriraj Hospital

Number of visits
Month Revisitor New visitor Total
Male Female Total Male Female Total Male Female Total
January 1,198 1,083 2,281 1,093 1,134 2,227 2,291 2,217 4,508
February 1,213 930 2,143 989 1,074 2,063 2,202 2,004 4,206
March 1,233 917 2,150 1,107 1,149 2,256 2,340 2,066 4,406
April 1,155 1,026 2,181 1,053 1,114 2,167 2,208 2,140 4,348
May 1,347 1,162 2,509 1,058 1,203 2,261 2,405 2,365 4,770
June 1,146 1,126 2,272 1,072 1,142 2,214 2,218 2,268 4,486
July 1,289 996 2,285 1,042 1,033 2,075 2,331 2,029 4,360
August 1,172 983 2,155 1,034 1,144 2,178 2,206 2,127 4,333
September 1,285 859 2,144 1,018 1,075 2,093 2,303 1,934 4,237
October 1,292 1,077 2,369 952 1,144 2,096 2,244 2,221 4,465
November 1,299 1,258 2,557 1,111 1,173 2,284 2,410 2,431 4,841
December 1,204 1,131 2,335 1,069 1,152 2,221 2,273 2,283 4,556
Total 14,833 12,548 27,381 12,598 13,537 26,135 27,431 26,085 53,516

160
OTHER MEDICAL SERVICES IN 2016

Number of operation at Trauma Surgery in 2016, classified by patient's type


Division of Trauma Surgery, Department of Surgery, Siriraj Hospital

Number of visits
Patient's type
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
Total patient 130 112 166 107 103 137 109 133 158 145 125 119 1,544
EMERGENCY 24 16 28 18 20 37 26 26 30 30 23 17 295
Revisit 127 109 160 103 96 130 96 121 148 131 120 110 1,451
New patient 3 3 6 4 7 7 13 12 10 14 5 9 93
Major surgery 97 88 95 60 68 81 63 79 78 81 89 75 954
Minor surgery 33 24 71 47 35 56 46 54 80 64 36 44 590
Out -Patient 45 49 75 41 33 50 47 46 67 57 37 40 587
In-Patient 85 63 91 66 70 87 62 87 91 88 88 79 957
ORTHO 43 23 43 31 46 41 36 46 44 60 49 43 505
NEURO 3 8 4 5 5 6 3 3 4 8 3 1 53
FFC. 7 14 13 6 7 10 5 3 10 8 15 10 108
Patient with social welfare 7 11 10 4 5 5 4 16 8 20 21 7 118

161
STATISTICAL REPORT 2016

Statistics of Department of Physiology


Number of laboratory examination in 2016, classified by patient's type
Division of Cardiovascular Physiology, Siriraj Hospital

Number of patients
Month Research Total
IPD OPD
January - 1 2 3
February 1 - - 1
March - 2 1 3
April - 1 - 1
May - 3 - 3
June - 6 - 6
July 1 1 - 2
August 2 1 - 3
September - 1 - 1
October 1 - - 1
November - 1 1 2
December - 2 - 2
Total 5 19 4 28

162
OTHER MEDICAL SERVICES IN 2016

Statistics of Department of Obstetrics and Gynaecology


Number of patients in each month in 2016, classified by patient's type, Siriraj Hospital

Number of visits
Patients type Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
OUT-PATIENTS
Obstetrics 5,972 6,103 7,179 5,998 6,531 5,947 5,902 6,939 6,129 5,790 6,207 6,167 74,864
Gynaecology 11,467 11,951 13,736 11,705 12,258 13,086 12,186 14,475 13,500 12,256 13,079 11,044 150,743
Total 17,439 18,054 20,915 17,703 18,789 19,033 18,088 21,414 19,629 18,046 19,286 17,211 225,607
IN-PATIENTS
Newborn Infant 685 601 646 715 693 622 658 729 745 686 658 676 8,114
Obstetrics 848 758 838 841 872 801 820 879 883 879 786 852 10,057
Gynaecology 422 399 505 449 444 449 435 451 461 476 483 494 5,468
DELIVERY & BIRTH
Deliveries 675 588 634 700 682 609 647 715 734 675 644 670 7,973
Live Birth 684 599 643 715 689 622 656 727 741 682 658 671 8,087
Stillbirth 1 2 3 0 4 0 2 2 4 4 0 5 27
OPERATIONS
Obstetrics 390 351 349 425 390 348 373 425 413 381 377 370 4,592
Gynaecology 295 288 332 259 281 298 258 334 326 306 339 316 3,632
Total 685 639 681 684 671 646 631 759 739 687 716 686 8,224
PV EXAMINATION
OPD 470 528 598 432 507 563 482 574 531 481 563 531 6,260
IPD 45 63 64 42 45 57 49 63 55 35 62 45 625
PROCEDURE
OPD 170 132 173 95 160 147 119 148 148 112 119 117 1,640
IPD 36 58 58 36 48 51 43 59 51 31 60 41 572
TUBAL STERILIZATION 55 53 40 46 46 35 43 43 46 41 30 44 522

163
STATISTICAL REPORT 2016

Number of Birth and Neonate in 2016, classified by gender


Department of Obstetrics and Gynaecology, Siriraj Hospital

Birth Neonate
Month
Male Female Unsex Total Male Female Total
January 373 312 - 685 372 312 684
February 293 308 - 601 292 307 599
March 336 310 - 646 336 307 643
April 365 350 - 715 365 350 715
May 334 359 - 693 330 359 689
June 308 314 - 622 308 314 622
July 337 321 - 658 336 320 656
August 363 366 - 729 361 366 727
September 370 374 1 745 369 372 741
October 346 340 - 686 345 337 682
November 339 319 - 658 339 319 658
December 341 335 - 676 338 333 671
Total 4,105 4,008 1 8,114 4,091 3,996 8,087

164
OTHER MEDICAL SERVICES IN 2016

Statistics of Department of Otorhinolaryngology


Number of Out-patients in 2016, classified by clinic

Clinic Number of visits Average/month


General ear nose throat 64,198 5,350
Special Clinic 27,055 2,255
Total 91,253 7,605

Number of patients at Special clinic in 2016, classified by clinic


Department of Otorhinolaryngology, Siriraj hospital

Clinic code Clinic name Number of visits


0601 ENT Oncology Clinic 975
0602 Pediatric Otolaryngology Clinic 522
0604 Allergy Clinic 2,866
0606 Voice Clinic 1,382
0607 Neuro-Otology Clinic 5,695
0608 Laryngology Clinic 1,054
0610 Rhinology Clinic 2,057
0614 Speech and Language Clinic 5,898
0615 Rhinology Clinic OPD ENT 309
0616 Swallowing Clinic สม.1 890
0617 Snoring Clinic ENT 1,674
0618 Smell & Taste Clinic 270
0619 Botulinum Toxin Clinic 343
0622 Hearing aids fitting Clinic 3,120
Total 27,055

165
STATISTICAL REPORT 2016

Number of patients of Neuro-Otology clinic in 2016


Classified by type of testing with special instruments
Division of Otology, Neuro Otology & Audiology, Department of Otorhinolaryngology, Siriraj hospital

List of instruments / Testing Number of Visits


Auditory Brainstem Response (ABR) 824
Caloric Test 63
Videonystagmography (VNG) 155
Posturography 299
Auditory Brainstem Response bone click (ABR bone click) 223
Auditory Steady State Response (ASSR) 1,060
Auditory Brainstem Response click-tone burst (ABR click-tone burst) 935
Ocular Vestibular Evoked Myogenic Potentials (VEMP) 145
Cervical Vestibular Evoked Myogenic Potentials (VEMP) 145
Otoacoustic Emission or Otoacoustic Emission + Auditory Brainstem Response 1,293
Screening (OAE or OAE + ABR Screening)
Dix-Hallpike Maneuver 587
Subjective Visual Vertical (SVV) 170
Video head impulse test (V-HIT) 182
Electrogustometry (EGM) 84
Total 6,165

166
OTHER MEDICAL SERVICES IN 2016

Number of patients of Audiology room in 2016


Classified by type of testing with special instruments
Division of Otology, Neuro Otology & Audiology, Department of Otorhinolaryngology, Siriraj hospital

List of instruments / Testing Number of Visits


Pure tone Audiometry 1,037
Speech Audiometry 194
Pure tone Audiometry ; Speech Audiometry 12,182
Tympanometry 1,289
Auditory threshold in speech frequency 199
Aided threshold 77
Audiometry fail 112
Total 15,090

Number of patients of Hearing aide room in 2016


Classified by type of testing with special instruments
Division of Otology, Neuro Otology & Audiology, Department of Otorhinolaryngology, Siriraj hospital

List of instruments / Testing Number of Visits


Hearing aid Fitting 532
Hearing aid Use & Care 470
Most comfortable level, Uncomfortable level Measurement (MCL, UCL) 261
Hearing aid Follow-Up 1,543
Functional gain Measurement 500
Real Ear Measurement (REM) 317
Hearing aid Maintenance 335
Hearing aid Consultation 238
Total 4,196

167
STATISTICAL REPORT 2016

Top ten diseases of Speech and Language Clinic


Division of Laryngology Head & Neck Surgery, Department of Otorhinolaryngology, Siriraj hospital

Order ICD-10 Description Number of visits


1 F80.9 Developmental disorder of speech and language unspecified 4,466
2 F80.0 Specified speech articulation disorder 733
3 F84.0 Childhood autism 659
4 R49.8 Other and unspecified voice disturbances 225
5 H91.9 Hearing loss, unspecified 191
6 Q37.8 Unspecified cleft palate with cleft lip, bilateral 183
7 F79.9 Unspecified mental retardation, without mention of impairment of behaviour 134
8 F90.0 Disturbance of activity and attention 133
9 H90.4 Sensorineural hearing loss, unilateral with unrestricted hearing on 63
the contralateral side
10 J38.3 Other diseases of vocal cords 62

The treatment ranking of Speech and Language Clinic


Division of Laryngology Head & Neck Surgery, Department of Otorhinolaryngology, Siriraj hospital

Order ICD-9-CM Description Number of visits


1 93.74 Speech defect training 4,018
2 93.75 Other speech training and therapy 220
3 93.73 Esophageal speech training 15

168
OTHER MEDICAL SERVICES IN 2016

Number of patients of Allergy Clinic in 2016


Classified by type of testing with special instruments, Division of Rhinology & Allergy
Department of Otorhinolaryngology, Siriraj hospital

List of instruments / Testing Number of Visits


Skin prick test (SPT) 341
Intradermal Test (ID Test) 196
Specific Immunotherapy (SIT) 1,186
Follow-Up 861
Rhinomanometry (RMM) 71
Acoustic Rhinometry (ARM) 90
Taste test 108
Smell test 195
Smell & Taste test 255
Spirometer ; Pulmonary Function Test 47
Total 3,350

Number of out-patients in 2016, classified by age and gender


Department of Otorhinolaryngology, Siriraj hospital

Number of patient (person)


Age Total
Male Female
0-15 883 (53%) 774 (47%) 1,657 (6%)
16-35 1,802 (36%) 3,158 (64%) 4,960 (17%)
36-60 3,964 (33%) 8,069 (67%) 12,033 (41%)
> 60 4,335 (40%) 6,523 (60%) 10,858 (37%)
Total 10,984 (37%) 18,524 (63%) 29,508 (100%)

169
STATISTICAL REPORT 2016

Top twenty diseases of general ENT unit and special clinic


Department of Otorhinolaryngology, Siriraj hospital

Order ICD-10 Description Number of visits


1 J31.0 Chronic rhinitis 6,610
2 F80.9 Developmental disorder of speech and language, unspecified 4,847
3 J30.4 Allergic rhinitis, unspecified 4,190
4 Z46.1 Fitting and adjustment of hearing aid 3,112
5 H90.3 Sensorineural hearing loss, bilateral 2,967
6 H61.2 Impacted cerumen 2,942
7 Z43.0 Attention to tracheostomy 2,871
8 G47.3 Sleep apnoea 2,779
9 K21.9 Gastro-oesophageal reflux disease without oesophagitis 2,726
10 H65.4 Other chronic nonsuppurative otitis media 2,453
11 J32.9 Chronic sinusitis, unspecified 2,258
12 E04.1 Nontoxic single thyroid nodule 2,217
13 H90.4 Sensorineural hearing loss, unilateral with unrestricted hearing on 2,019
the contralateral side
14 C7.3 Malignant neoplasm of thyroid gland 1,885
15 J33.9 Nasal polyp, unspecified 1,778
16 H93.1 Tinnitus 1,710
17 R42 Dizziness and giddiness 1,585
18 H72.9 Perforation tympanic membrane, unspecified 1,567
19 H91.2 Sudden idiopathic hearing loss 1,525
20 C11.9 Malignant neoplasm of nasopharynx malignant, unspecified 1,360

170
OTHER MEDICAL SERVICES IN 2016

Top twenty procedures of general ENT unit and special clinic


Department of Otorhinolaryngology, Siriraj hospital

Order ICD-9-CM Description Number of visits


1 95.41 Audiometry 13,946
2 21.21 Rhinoscopy 5,592
3 93.74 Speech defect training 5,449
4 95.46 Other auditory and vestibular function tests 3,068
5 31.42 Laryngoscopy and other tracheoscopy 2,853
6 97.23 Replacement of tracheostomy tube 2,826
7 99.12 Immunization for allergy 1,186
8 96.52 Irrigation of ear 1,039
9 95.48 Fitting of hearing aid 621
10 18.11 Otoscopy 620
11 31.41 Tracheoscopy through artificial stoma 611
12 06.11 Closed [percutaneous] [needle] biopsy of thyroid gland 477
13 40.11 Biopsy of lymphatic structure 469
14 42.23 Other esophagoscopy 465
15 97.21 Replacement of nasal packing 369
16 88.71 Diagnostic ultrasound of head and neck 333
17 31.0 Injection of larynx 332
18 93.75 Other speech training and therapy 316
19 89.52 Electrocardiogram 261
20 20.94 Injection of tympanum 238

171
STATISTICAL REPORT 2016

Number of in-patients in 2016, classified by ward


Department of Otorhinolaryngology, Siriraj hospital

Month Special Ward General Ward Total


January 83 180 443
February 87 177 441
March 105 203 511
April 76 161 398
May 88 175 438
June 115 192 499
July 96 162 420
August 96 192 480
September 88 175 438
October 100 180 460
November 97 174 445
December 101 184 469
Total 1,132 4,310 5,442

Number of in-patients in 2016, classified by age and gender


Department of Otorhinolaryngology, Siriraj hospital

Number of patient (person)


Age Total
Male Female
0-15 296 (60%) 196 (40%) 492 (19%)
16-35 166 (44%) 213 (56%) 379 (14%)
36-60 462 (43%) 612 (57%) 1,074 (40%)
> 60 387 (55%) 322 (45%) 709 (27%)
Total 1,311 (49%) 1,343 (51%) 2,654 (100%)

172
OTHER MEDICAL SERVICES IN 2016

Number of in-patients in 2016, classified by patient's type


Department of Otorhinolaryngology, Siriraj hospital

Month Tumor General ENT Total


January 84 (32%) 179 (68%) 263 (8%)
February 84 (32%) 180 (68%) 264 (8%)
March 85 (28%) 223 (72%) 308 (9%)
April 79 (33%) 158 (67%) 237 (7%)
May 79 (30%) 184 (70%) 263 (8%)
June 93 (30%) 214 (70%) 307 (9%)
July 78 (30%) 180 (70%) 258 (8%)
August 94 (33%) 194 (67%) 288 (9%)
September 85 (32%) 178 (68%) 263 (8%)
October 96 (34%) 184 (66%) 280 (9%)
November 85 (31%) 186 (69%) 271 (8%)
December 93 (33%) 192 (67%) 285 (9%)
Total 1,035 (31%) 2,252 (69%) 3,287 (100%)

173
STATISTICAL REPORT 2016

Top twenty diseases of in-patients


Department of Otorhinolaryngology, Siriraj hospital

Order ICD-10 Description Number of visits


1 J35.3 Hypertrophy of tonsils with hypertrophy of adenoids 207
2 C73 Malignant neoplasm of thyroid gland 171
3 E04.1 Nontoxic single thyroid nodule 137
4 J35.0 Chronic tonsillitis 117
5 D14.1 Larynx benign neoplasm 115
6 H65.4 Other chronic nonsuppurative otitis media 103
7 C32.0 Glottis malignant neoplasm 92
8 J39.8 Other specified diseases of upper respiratory tract 88
9 Z43.0 Attention to tracheostomy 81
10 D11.0 Parotid gland benign neoplasm 74
11 J38.0 Paralysis of vocal cords and larynx 72
12 J95.5 Postprocedural subglottic stenosis 70
13 J38.6 Stenosis of larynx 59
14 C77.0 Lymph nodes of head, face and neck malignant neoplasm 55
15 H91.2 Sudden idiopathic heating loss 47
16 J33.8 Nasal polyp 47
17 B44.8 Other forms of aspergillosis 43
18 C12 Malignant neoplasm of pyriform sinus 41
19 H66.3 Other chronic suppurative otitis media 41
20 J38.3 Other diseases of vocal cords 40

174
OTHER MEDICAL SERVICES IN 2016

Number of operations in the operating theater on the 4th floor of Syamindra Building in 2016
Classified by type of anesthesia, Department of Otorhinolaryngology, Siriraj hospital

Number of operations
Month
Major Operation Minor Operation Total
January 236 117 353
February 263 111 374
March 305 110 415
April 219 79 298
May 264 112 376
June 272 109 381
July 240 69 309
August 288 132 420
September 286 88 374
October 270 87 357
November 276 105 381
December 271 134 405
Total 3,190 1,253 4,443

175
176
Number of operations in the operating room in 2016
Classified by key performance index list, Department of Otorhinolaryngology, Siriraj hospital

Number of operations
STATISTICAL REPORT 2016

Month Panendoscopy Endoscopic Tonsillectomy Thyroid lobectomy Tympanoplasty Stapedectomy Parotidectomy and Complete
Sinus Surgery lobectomy Submandibular extirpation thyroidectomy
January 10 14 14 14 7 6 10 10
February 7 17 17 20 11 3 6 13
March 14 19 35 23 7 1 11 17
April 5 21 28 15 5 1 12 7
May 13 23 33 13 9 2 13 13
June 8 17 31 21 8 7 9 13
July 10 22 25 19 10 3 10 9
August 12 18 30 27 12 10 11 18
September 10 22 22 17 13 3 9 16
October 9 9 21 16 7 5 9 10
November 15 18 29 22 5 2 12 16
December 8 20 20 12 12 1 10 11
Total 121 220 305 219 106 44 122 153
OTHER MEDICAL SERVICES IN 2016

Top twenty diseases in the operation on the 4th floor of Syamindra Building in 2016
Department of Otorhinolaryngology, Siriraj hospital

Order ICD-10 Description Number of visits


1 Z43.0 Attention to tracheostomy 551
2 E04.1 Nontoxic single thyroid nodule 211
3 J35.3 Hypertrophy of tonsils with hypertrophy of adenoids 175
4 * Prolong intubation 173
5 * Tracheal stenosis 135
6 H65.4 Other chronic nonsuppurative otitis media 133
7 J32.0 Chronic maxillary sinusits 132
8 C73 Malignant neoplasm of thyroid gland 129
9 D14.1 Larynx benign neoplasm 117
10 R59.0 Localized enlarged lymph nodes 104
11 C32.0 Glottis malignant neoplasm 94
12 J35.0 Chronic tonsillitis 86
13 J38.0 Paralysis of vocal cords and larynx 81
14 J95.5 Postprocedural subglottic stenosis 79
15 J38.6 Stenosis of larynx 78
16 G47.3 Sleep apnoea 76
17 * Upper airway obstruction 55
18 C77.0 Lymph nodes of head, face and neck malignant neoplasm 53
19 J38.3 Other diseases of vocal cords 52
20 D11.0 Parotid gland benign neoplasm 51

Note: “*” ICD-10 is created to name properly in the operation room

177
STATISTICAL REPORT 2016

Top twenty procedures in the operation on the 4th floor of Syamindra Building in 2016
Department of Otorhinolaryngology, Siriraj hospital
Order ICD-9-CM Description Number of visits
1 97.23 Replacement of tracheostomy tube 747
2 33.22 Fiber-optic bronchoscopy 417
3 31.42 Laryngoscopy and other tracheoscopy 374
4 31.1 Temporary tracheostomy Tracheotomy for assistance in breathing 309
5 06.2 Unilateral thyroid lobectomy 211
6 28.3 Tonsillectomy with adenoidectomy 200
7 30.09 Other excision or destruction of lesion or tissue of larynx Stripping 193
of vocal cords
8 22.2 Intranasal antrotomy 192
9 20.01 Myringotomy with insertion of tube 156
10 06.4 Complete thyroidectomy 154
11 42.23 Other esophagoscopy 138
12 22.63 Ethmoidectomy 135
13 33.23 Other bronchoscopy 134
14 31.43 Closed [endoscopic] biopsy of larynx 130
15 31.92 Lysis of adhesions of trachea or larynx 126
16 31.41 Tracheoscopy through artificial stoma 123
17 40.3 Regional lymph node excision 119
18 19.4 Myringoplasty 118
19 31.0 Injection of larynx Injection of inert material into larynx or vocal cords 117
20 28.2 Tonsillectomy without adenoidectomy 111

Number of medical services in the operation on the 4th floor of Syamindra Building in 2016
Classified by age and gender, Department of Otorhinolaryngology, Siriraj hospital
Number of patient (person)
Age Total
Male Female
0-15 340 (61%) 216 (39%) 556 (17%)
16-35 205 (44%) 259 (56%) 464 (15%)
36-60 543 (44%) 681 (56%) 1,224 (38%)
> 60 491 (52%) 447 (48%) 938 (29%)
Total 1,579 (50%) 1,603 (50%) 3,182 (100%)

178
OTHER MEDICAL SERVICES IN 2016

Statistics of Her Majesty Cardiac Center


Number of out-patients in 2016, classified by Unit of treatment service, Siriraj Hospital

Unit of treatment service


Month Cardiovascular Cardiovascular Magnetic Resonance Premium Clinic Total
Intervention Special Intervention Imaging Room
January 552 1,920 339 1,265 4,076
February 575 1,918 311 1,303 4,107
March 597 2,291 371 1,447 4,706
April 513 1,584 262 1,204 3,563
May 509 1,686 331 1,160 3,686
June 637 1,978 413 1,449 4,477
July 526 1,560 315 1,294 3,695
August 585 2,081 372 1,469 4,507
September 616 1,836 378 1,813 4,643
October 538 1,958 344 1,379 4,219
November 657 2,241 384 1,517 4,799
December 553 2,049 369 1,487 4,458
Total 6,858 23,102 4,189 16,787 50,936

179
STATISTICAL REPORT 2016

Number of in-patients in 2016, classified by ward


Her Majesty Cardiac Center, Siriraj Hospital
Ward
Month Post-Intermediate Intermediate Cardiac Total
Ward (5th floor) Ward (8th floor)
January 24 241 265
February 26 254 280
March 25 264 289
April 21 211 232
May 28 218 246
June 23 293 316
July 24 240 264
August 34 246 280
September 79 277 356
October 58 258 316
November 66 282 348
December 56 210 266
Total 464 2,994 3,458

180
OTHER MEDICAL SERVICES IN 2016

Statistics of Pharmacy Division


Number of services in 2016, classified by type of services, Siriraj Hospital

Services Unit Number


Total number of prescription dispensed (OPD) sheet 1,129,141
Total number of prescription dispensed (IPD) sheet 2,492,230
Total prescription dispensed (Special clinic) sheet 602,447
Total number of Siriraj manufacturing product (item) item 2,791,558
Total sale of Siriraj Formularies project bath 40,598,809
Total amount of sterile drug production (dose) dose 226,917
Cost saving from sterile drug production (bath) bath 25,654,957
Total number of drug preparation for children (dose) dose 36,539
Total number of postal drug delivery (time) item 5,520
Monthly Inventory as of August
- Medical supplies inventory (≤ 15 days) day 39.84
- Drug inventory (≤ 15 days) day 16.61
- Total hospital inventory (≤ 30 days) day 32.67
Number of drugs in Siriraj hospital list 3,014
- Essential drugs list 1,739
- Non-essential drug list 1,275
Drug use ratio by cost
- Essential drugs percent 44%
- Non-essential drug percent 56%
Prescribing restriction policy
- Number of restricted drug for specialist list 591
- Number of restricted drug by indication list 114
- Number of restricted drug that needs prescribing document list 78
- Number of restricted drug that needs document for reimbursement list 131
- Number of restricted drug that can be reimbursed for OPD only list 66
- Number of restricted drug that can be reimbursed for IPD only list 42
- Number of restricted drug that cannot be reimbursed list 343
Number of patients counselling by pharmacists visits 23,050
Number of the prevention for repeated drug hypersensitivity services 1,013

181
STATISTICAL REPORT 2016

Statistics of Nutrition Department


Number of services patients in 2016, classified by patient's type, Siriraj Hospital

Private patient Common patient Milk stock for children Tube feeding Total
Year
(set) (set) (bottle) (meal) (set)
2013 523,992 799,623 496,781 319,832 2,140,228
2014 535,323 753,513 534,323 335,787 2,158,946
2015 512,230 792,441 513,103 293,453 2,111,227
2016 505,009 768,909 480,149 341,754 2,095,821

Academic Performance
1. Provide counseling and teach patient’s relatives how to prepare tube feeding
(510 persons/year)
2. Provide counseling on nutrition and nutrition support at Nutrition Department and via telephone
(150 case/year)
3. Be apart of Multidisciplinary team to provide counseling on nutrition and nutrition support
( 760 case/year)
4. Nutrition Assessment by Modified Nutrition Alert Form
(3,600 case/year)
5. Formulate teaching media for knowledge dissemination such as poster and leaflet with modern form

182
OTHER MEDICAL SERVICES IN 2016

Statistics of Dental Department


Number of services provision to patient in 2016, classified monthly, Siriraj Hospital

Month Number of visits


January 2,400
February 2,576
March 2,846
April 2,309
May 2,498
June 2,558
July 2,248
August 2,578
September 1,748
October 2,088
November 1,882
December 1,165
Total 26,896

183
184
Statistics of Patient Transfer Division
Number of providing moving services in 2016, classified by type of services, Siriraj Hospital

Number of offers (travel)


STATISTICAL REPORT 2016

Type of Services
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
1. Moving patients
1.1. Out-Patients 88,052 88,461 100,623 80,047 83,244 93,967 84,128 99,421 95,673 89,836 98,487 95,191 1,097,130
1.2. In-Patients 19,266 20,555 25,626 20,694 21,917 24,429 21,774 25,885 25,148 22,407 23,496 27,088 278,285
1.3. Surgery patients 7,384 7,436 9,381 6,553 7,428 8,398 6,985 8,760 8,229 8,006 7,891 7,670 94,121
1.3. Emergency patients 1,371 892 1,161 895 704 992 814 1,195 1,226 1,006 1,063 1,028 12,347
2. Receiving - sending specimens 18,183 17,691 20,763 17,454 17,850 18,460 16,521 20,051 18,708 17,953 19,942 19,456 223,032
3. Moving the deceased 182 169 185 199 194 165 183 191 190 198 177 226 2,259
Total 134,438 135,204 157,739 125,842 131,337 146,411 130,405 155,503 149,174 139,406 151,056 150,659 1,707,174
OTHER MEDICAL SERVICES IN 2016

Statistics of Siriraj Organ Transplant


Number of services in 2016, classified by services category
Organ transplantation clinic, Siriraj Hospital

Pre - PostLiver Tx PostKidney Tx PreKidney Tx Pre - PostHeart Tx


Month
visits services visits services visits services visits services
January 4 122 4 349 4 120 1 15
February 4 101 4 345 4 95 1 25
March 4 136 5 426 3 82 1 11
April 4 106 4 313 4 107 1 10
May 4 136 5 406 2 71 1 17
June 4 107 4 372 3 104 1 12
July 3 74 3 281 4 157 1 10
August 5 112 5 389 2 63 1 13
September 4 101 4 318 4 108 1 11
October 4 117 4 348 4 113 1 12
November 4 117 5 366 4 103 1 16
December 2 77 4 350 5 120 1 11
Total 46 1,306 51 4,263 43 1,243 12 163

185
186
Statistics Toxicology Division
Number of clinical toxicology laboratory tests in 2016, classified by list, Siriraj Hospital
STATISTICAL REPORT 2016

Number of test
List January February March April May June July August September October November December Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Drug level 583 552 527 561 548 589 538 614 520 520 605 539 585 672 626 561 616 610 607 559 619 536 577 544 13,808
Transplant 706 207 357 601 785 235 430 436 467 493 513 376 561 209 406 499 696 217 628 223 651 193 634 157 10,680
Screening test 18 6 7 1 2 4 12 2 4 5 8 2 14 2 20 1 9 1 1 4 12 2 5 8 150
Drug abuse 128 93 206 73 224 78 140 63 187 118 209 108 123 56 180 98 164 94 127 93 139 96 93 90 2,980
Metals 111 26 108 42 121 44 107 34 110 55 130 37 118 30 147 26 147 36 158 43 178 31 154 37 2,030
UPLC 29 - 50 - 62 - 43 - 63 - 53 - 64 - 54 - 90 - 53 - 73 - 64 - 698
GC-MS 40 - 10 - 22 - 19 - 35 - 44 - 23 - 37 - 55 - 50 - 81 - 101 - 517

Total 1,615 884 1,265 1,278 1,764 950 1,289 1,149 1,386 1,191 1,562 1,062 1,488 969 1,470 1,185 1,777 958 1,624 922 1,753 858 1,628 836 30,863

Total 2,499 2,543 2,714 2,438 2,577 2,624 2,457 2,655 2,735 2,546 2,611 2,464 30,863
Number of samples laboratory of Clinical Toxicology in 2016, classified by list
Toxicology Division, Siriraj hospital

Number of test
List January February March April May June July August September October November December Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Clotted blood 689 575 623 590 649 628 641 641 624 545 720 573 675 699 761 585 746 644 744 596 769 565 715 580 15,577

EDTA 706 207 357 609 792 235 430 437 467 511 520 376 572 209 414 499 705 217 635 223 664 193 638 157 10,773

Urine 135 96 208 74 230 78 141 57 188 120 213 110 135 57 188 99 171 94 130 95 146 97 99 91 3,052

Urine 24 hr. 5 4 11 5 7 7 5 2 3 3 7 3 8 3 4 2 5 3 8 6 10 2 8 1 122

Toxin 37 - 11 - 16 - 15 1 35 - 23 - 12 1 11 - 9 - 9 1 24 - 9 5 219

Gas L. 3 2 3 - 1 2 11 9 2 3 4 - 8 - 9 - 7 - 1 - 11 1 2 2 81

Heparin 29 - 50 - 62 - 43 - 63 - 53 - 64 - 80 - 128 - 87 - 115 - 147 - 921

All type 9 - - - 3 - 3 - 4 - 20 - 10 - 2 - 5 - 5 - 10 - 8 - 79

Total 1,613 884 1,263 1,278 1,760 950 1,289 1,147 1,386 1,182 1,560 1,062 1,484 969 1,469 1,185 1,776 958 1,619 921 1,749 858 1,626 836 30,824

Total 2,497 2,541 2,710 2,436 2,568 2,622 2,453 2,654 2,734 2,540 2,607 2,462 30,824

187
OTHER MEDICAL SERVICES IN 2016
188
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
STATISTICAL REPORT 2016

List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Drug level
1. Amikacin (Peak) clotted blood 1 - - - - - - - - - - - - - - - - - 1 - - - - 2 4
Amikacin (Trough) clotted blood - 1 - - - - - 1 - - - - 1 - 2 1 - - - 3 - 1 3 4 17
2. Antidepressants (TCA) clotted blood 3 4 1 1 7 3 2 2 4 5 1 2 2 1 6 2 2 - 7 4 5 2 1 - 67
3. Benzodiazepine clotted blood 67 6 67 2 32 4 60 5 65 2 42 5 59 3 64 3 49 2 49 6 59 3 42 2 698
4. Carbamazepine clotted blood 7 4 13 4 17 12 17 2 15 1 13 3 8 3 14 7 15 2 15 4 10 3 11 2 202
5. Digoxin clotted blood 26 29 15 21 33 23 14 11 16 9 14 10 15 7 15 18 23 21 15 12 16 8 22 11 404
6. Methotrexate clotted blood 107 64 56 55 71 78 44 58 52 78 90 43 73 57 94 75 91 65 119 64 101 69 109 98 1,811
7. Na Valproate clotted blood 98 65 104 48 100 60 111 77 81 44 117 81 93 57 109 53 101 56 95 52 109 54 112 60 1,937
8. Paracetamol clotted blood 5 11 5 6 2 11 2 11 4 9 6 18 4 7 8 8 7 14 4 21 3 14 2 12 194
9. Phenobarbital clotted blood 26 10 23 11 36 19 30 27 18 21 20 10 21 11 30 21 26 24 33 16 17 19 20 17 506
10. Phenytoin clotted blood 94 189 86 169 73 177 74 163 82 154 91 196 100 227 89 155 87 175 85 164 94 155 94 165 3,138
11. Salicylate clotted blood - 1 5 - 2 - 5 2 4 - 1 1 3 - 5 1 5 1 5 2 5 - 1 - 49
12. Theophylline clotted blood 9 3 10 15 8 8 9 5 6 6 7 8 5 7 26 10 10 6 13 6 8 8 14 15 222
13. Vancomycin (Peak) clotted blood - 2 2 2 2 1 1 - - 1 1 3 - 1 2 1 1 2 1 1 4 3 - 1 32
Vancomycin (Trough) clotted blood 132 160 138 224 158 192 162 246 168 189 198 158 198 290 156 203 188 239 162 202 183 197 141 154 4,438
14. Homocysteine clotted blood 8 3 2 3 7 1 7 4 5 1 4 1 3 1 6 3 11 3 3 2 5 - 5 1 89
Total 583 552 527 561 548 589 538 614 520 520 605 539 585 672 626 561 616 610 607 559 619 536 577 544 13,808
Total 1,135 1,088 1,137 1,152 1,040 1,144 1,257 1,187 1,226 1,166 1,155 1,121 13,808
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Transplant
1. Cyclosporine EDTA 114 49 114 75 162 58 114 47 121 87 62 158 123 76 118 56 104 57 113 65 113 42 124 31 2,183
2. Everolimus EDTA 107 16 113 10 146 11 88 44 92 37 104 28 84 16 77 38 91 34 103 19 109 30 102 15 1,514
3. Sirolimus EDTA 27 6 4 11 17 6 8 13 11 6 8 5 9 14 3 15 14 9 11 7 19 8 15 8 254
4. Tacrolimus EDTA 458 136 126 505 460 160 220 332 243 363 339 185 345 103 208 390 487 117 401 132 410 113 393 103 6,729
Total 706 207 357 601 785 235 430 436 467 493 513 376 561 209 406 499 696 217 628 223 651 193 634 157 10,680
Total 913 958 1,020 866 960 889 770 905 913 851 844 791 10,680

189
OTHER MEDICAL SERVICES IN 2016
190
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
STATISTICAL REPORT 2016

List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Screening test (Qualitative)
1. Antihistamines Gas L. - - - - - 1 2 1 - - - - - - - - - - - - - - - - 4
Antihistamines Urine - - 1 - - - - - - 1 1 - - - 1 - - - - 1 1 - - - 6
2. Arsenic Toxin 3 - - - - - - - 2 - 1 - - - 3 - - - - - - - - - 9
3. Barbiturates (PHENO) Gas L. - - - - - - - - - - - - - - - - - - - - 1 - - - 1
Barbiturates (PHENO) Urine 4 - 3 - 1 - 2 - 1 - 3 - 7 - 2 - 4 - 1 1 - - 1 - 30
4. Carbamate Gas L. 1 1 1 - - - 1 - - - - - 3 - 4 - 2 - - - 1 - - 1 15
Carbamate Toxin - - - - - - - - - - - - - - 1 - - - - - - - - - 1
5. Cholinesterase clotted blood - 1 - - - 2 2 - - 1 - - - - 2 - - 1 - - 1 - - - 10
6. Organophosphate Gas L. 1 1 1 - 1 - 3 - - - 1 - 3 - 4 - 2 - - - 5 - - 1 23
Organophosphate Toxin - - - - - - - - - - - - - - 1 - - - - - - - - - 1
7. Paracetamol Gas L. 1 - 1 - - 1 - 1 1 1 - - - - - - - - - - - 1 1 - 8
Paracetamol Toxin 3 - - - - - - - - - - - - - - - - - - - - - - 1 4
Paracetamol Urine - - - - - - 1 - - - - - 1 - - - - - - - - - 2 - 4
8. Phenothiazine Urine 1 1 - - - - - - - - - - - - - - 1 - - 1 - 1 - 4 9
9. Paraquat Gas L. - - - - - - - - - - - - - - - - - - - - 3 - - - 3
Paraquat Urine - - - - - - - - - - 2 1 - - - - - - - - - - - - 3
10. Salicylate Toxin 3 - - - - - 1 - - - - - - - - - - - - - - - - 1 5
11. Thinner (Hippuric) Toxin - - - - - - - - - - - - - 1 - - - - - - - - - - 1
Thinner (Hippuric) Urine 1 2 - 1 - - - - - 2 - 1 - 1 2 1 - - - 1 - - 1 - 13
Total 18 6 7 1 2 4 12 2 4 5 8 2 14 2 20 1 9 1 1 4 12 2 5 8 150
Total 24 8 6 14 9 10 16 21 10 5 14 13 150
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Narcotic
1. Amphetamine Gas L. - - - - - - 1 2 - - - - - - - - 1 - - - - - - - 4
Amphetamine Toxin - - - - - - - - 3 - 1 - - - - - - - - 1 - - - 1 6
Amphetamine Urine 59 52 73 38 108 37 77 34 96 60 103 53 61 33 87 49 80 52 68 58 69 45 59 50 1,501
2. Antidepressants (TCA) Gas L. - - - - - - 1 1 - 1 - - 1 - - - - - - - - - - - 4
Antidepressants (TCA) Toxin - - - - - - - - - - 1 - - - - - - - - - - - - - 1
Antidepressants (TCA) Urine - - 1 - 1 - - - 1 2 1 - - - 1 - 1 - 3 - 4 2 - - 17
3. Benzodiazepine Gas L. - - - - - - 3 2 1 1 3 - 1 - - - 1 - 1 - 1 - 1 - 15
Benzodiazepine Toxin - - 1 - - - - - - - - - - - - - - - - - 1 - - - 2
Benzodiazepine Urine 25 1 69 1 28 - 8 1 11 1 6 1 - 1 7 1 3 1 4 2 6 3 3 1 184
4. Cannabinoid Gas L. - - - - - - - 1 - - - - - - - - 1 - - - - - - - 2
Cannabinoid Toxin - - - - - - - - - - - - - - - - - - - - - - - 1 1
Cannabinoid Urine 22 20 31 18 46 23 26 13 38 29 49 28 31 14 43 26 39 21 27 17 31 26 14 21 653
5. Opiates Gas L. - - - - - - - 1 - - - - - - 1 - - - - - - - - - 2
Opiates Toxin - - - - - - - - - - - - - - 1 - - - - - - - - 1 2
Opiates Urine 22 20 31 16 41 18 24 8 37 24 45 26 29 8 40 22 38 20 24 15 27 20 16 15 586

Total 128 93 206 73 224 78 140 63 187 118 209 108 123 56 180 98 164 94 127 93 139 96 93 90 2,980
Total 221 279 302 203 305 317 179 278 258 220 235 183 2,980

191
OTHER MEDICAL SERVICES IN 2016
192
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
STATISTICAL REPORT 2016

List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Metals
1. Aluminium Urine - - - - - - - 1 - - - - 4 - 2 - - - - - - - - - 7
Aluminium clotted blood - - - - 1 - - - - - 1 - 4 - 2 - - - - - - - - - 8
2. Arsenic Urine - - - - 3 - - 1 - 3 1 - 1 - - - - - 2 - 1 - - - 12
3. Cadmium EDTA - - - - 1 - - - - - 1 - 1 - 1 - - - 1 - - - - - 5
Cadmium Urine - - - - 1 - - - - 1 - - - - - - - - - - 1 - - - 3
4. Chromium EDTA - - - - - - - - - 5 2 - 6 - 1 - 7 - - - 5 - 2 - 28
5. Copper Urine - - - - - - 1 - 3 1 - - - - - - 2 - 1 - 1 - 2 - 11
Copper Urine 24 hr. 5 4 11 5 7 7 5 2 3 3 7 3 8 3 4 2 5 3 8 6 10 2 8 1 122
Copper clotted blood 16 2 14 5 20 9 16 6 24 8 23 7 20 7 30 5 22 10 37 9 34 4 29 8 365
6. Iron clotted blood - - - - - - - - - - - - - - - - 1 - 1 - 5 - 6 - 13
7. Lead EDTA - - - 8 6 - - 1 - 13 4 - 4 - 5 - 2 - 5 - 8 - 2 - 58
Lead Toxin - - - - - - - 1 - - - - 1 - - - - - - - - - - - 2
Lead Urine - - - - 1 - - - - - - - 1 - - - - - - - 1 - - - 3
8. Lithium clotted blood 43 6 33 11 35 12 25 9 24 4 19 4 23 8 37 4 31 2 29 7 31 7 30 5 439
9. Magnesium (Mg) clotted blood - - - - - - - - 1 - - - - - - - 17 - - - 9 - - - 27
10. Mercury Urine - - - - 1 - - 1 - 4 - - 1 - - - 1 - 3 - 2 - 1 - 14
11. Manganese (Mn) EDTA - - - - - - - - - - - - - - 1 - - - 1 - - - - - 2
Manganese Urine - - - - - - - - - 1 - - - - - - - - - - - - - - 1
12. Zinc Urine - - 1 - - - - - - - - - 1 - - - - - - - - - 1 - 3
Zinc clotted blood 47 14 49 13 45 16 60 12 55 12 72 23 43 12 64 15 59 21 70 21 70 18 73 23 907
Total 111 26 108 42 121 44 107 34 110 55 130 37 118 30 147 26 147 36 158 43 178 31 154 37 2,030
Total 137 150 165 141 165 167 148 173 183 201 209 191 2,030
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
UPLC
1. Gliclazide Heparin - - 1 - 1 - - - 3 - 1 - 1 - - - 2 - - - 1 - 1 - 11

2. Glimepiride Heparin - - 1 - 1 - - - 3 - - - 1 - - - 2 - - - - - 1 - 9

3. Glipizide Heparin - - 1 - 1 - - - 3 - 1 - 1 - - - 2 - - - - - 1 - 10

4. Itraconazole Heparin - - - - - - - - - - - - - - 3 - 6 - 4 - 5 - 3 - 21

5. Posaconazole Heparin - - - - - - - - - - - - - - 4 - 9 - 4 - 8 - 7 - 32

6. Tricyclic screening Heparin - - - - - - 1 - - - - - - - - - - - - - - - - - 1

7. Voriconazole Heparin 29 - 47 - 59 - 42 - 54 - 51 - 61 - 47 - 69 - 45 - 59 - 51 - 614

Total 29 0 50 0 62 0 43 0 63 0 53 0 64 0 54 0 90 0 53 0 73 0 64 0 698

Total 29 50 62 43 63 53 64 54 90 53 73 64 698

193
OTHER MEDICAL SERVICES IN 2016
194
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
STATISTICAL REPORT 2016

List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
GC-MS
1. Alcohols screening All type 3 - - - - - 3 - 4 - - - 4 - 1 - - - 5 - 1 - 2 - 23
2. Amphetamine Urine 1 - - - 2 - 2 - 1 - 2 - 1 - 3 - 3 - 1 - 2 - 1 - 19
3. Cyanide All type 2 - - - - - - - - - - - 1 - 1 - - - - - - - - - 4
4. Dexamethasone Toxin 5 - 3 - - - - - 4 - - - - - - - - - - - 6 - - - 18
5. Dopamine Heparin - - - - - - - - - - - - - - 2 - 2 - 4 - 2 - 4 - 14
6. Hippuric acid Urine 2 - - - - - - - - - - - 1 - - - - - - - - - - - 3
7. Metanephrine Heparin - - - - - - - - - - - - - - 14 - 18 - 14 - 18 - 42 - 106
8. Methamphetamine Urine - - - - 1 - - - - - 2 - - - 1 - - - 1 - 4 - - - 9
(confirm)
9. Normetanephrine Heparin - - - - - - - - - - - - - - 10 - 18 - 14 - 20 - 37 - 99
10. Organochlorine All type - - - - - - - - - - 6 - 2 - - - 1 - - - 3 - 2 - 14
screening
11. Organonitrogen All type - - - - 1 - - - - - - - - - - - 1 - - - - - - - 2
screening
12. Organophosphorous All type - - - - 1 - - - - - 7 - 2 - - - 1 - - - 3 - 2 - 16
screening
13. Paraquat All type 3 - - - 1 - - - - - 4 - - - - - 1 - - - 3 - 2 - 14
14. Polycyclic Aromatic All type - - - - - - - - - - 1 - - - - - - - - - - - - - 1
Hydro
Number of samples laboratory of Clinical Toxicology in 2016, classified by list (conts.)
Toxicology Division, Siriraj hospital
Number of test
List Sample January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
GC-MS
15. Prednisolone Toxin 5 - - - - - - - 4 - - - - - - - - - - - 5 - - - 14

16. Pyrethrins screening All type - - - - - - - - - - 1 - - - - - 1 - - - - - - 2

17. Steroids Toxin 18 - 7 - 16 - 14 - 22 - 20 - 11 - 5 - 9 - 9 - 12 - 9 - 152

18. Volatile Organic All type 1 - - - - - - - - - 1 - 1 - - - - - - - - - - - 3


Compounds
19. Warfarin Heparin - - - - - - - - - - - - - - - - - - 2 - 2 - - - 4

Total 40 0 10 0 22 0 19 0 35 0 44 0 23 0 37 0 55 0 50 0 81 0 101 0 517

Total 40 10 22 19 35 44 23 37 55 50 81 101 517

Total Test 1,615 884 1,265 1,278 1,764 950 1,289 1,149 1,386 1,191 1,562 1,062 1,488 969 1,470 1,185 1,777 958 1,624 922 1,753 858 1,628 836 30,863

195
OTHER MEDICAL SERVICES IN 2016
196
Number of the response to the question about drugs in 2016, classified by genre questioner
Toxicology Division, Siriraj hospital

Number of answer questions


STATISTICAL REPORT 2016

Genre Questioner January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Doctor
In Siriraj Hospital 310 136 304 116 311 152 302 138 352 111 281 104 258 104 262 115 293 125 280 96 322 144 280 79 4,975
Outside Siriraj
2 5 2 - - 2 6 - - 3 4 - 21 5 6 - 4 3 7 3 7 - 6 5 91
Hospital
Pharmacist
In Siriraj Hospital 109 35 101 18 97 51 79 31 71 60 111 31 113 39 117 63 116 56 88 74 107 20 121 50 1,758
Outside Siriraj
21 8 43 7 17 8 17 14 29 7 11 10 32 11 10 10 33 9 30 13 7 14 30 6 397
Hospital
Nurse
In Siriraj Hospital 591 436 586 355 527 465 426 404 484 440 538 384 546 433 553 428 648 447 624 472 692 415 711 430 12,035
Outside Siriraj
15 8 18 1 13 4 9 4 10 10 16 2 11 3 21 4 12 4 3 4 14 5 23 25 239
Hospital
Medical personnel
In Siriraj Hospital 12 - 19 7 24 9 10 11 7 6 27 3 33 - 15 - 11 4 22 7 17 13 11 - 268
Outside Siriraj
1 1 - 1 4 2 - 3 - 8 7 3 - 1 7 3 1 6 4 - 8 - 4 1 65
Hospital
People 172 107 173 119 132 123 167 116 111 134 187 124 217 123 216 140 186 160 191 148 145 130 172 126 3,619
Total 1,233 736 1,246 624 1,125 816 1,016 721 1,064 779 1,182 661 1,231 719 1,207 763 1,304 814 1,249 817 1,319 741 1,358 722 23,447
Number of questions 1,969 1,870 1,941 1,737 1,843 1,843 1,950 1,970 2,118 2,066 2,060 2,080 23,447
Number of the response to the question about drugs in 2016, classified by questions
Toxicology Division, Siriraj hospital

Number of answer questions


Type of questions January February March April May June July August September October November December
Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
ADR 68 52 70 57 53 55 71 61 58 49 65 54 90 63 94 60 69 59 77 69 58 49 77 50 1,528
Availability 136 38 146 30 118 43 109 41 124 43 150 23 139 27 120 43 157 59 166 42 159 56 167 43 2,179
Compat./Stab. 271 240 270 174 274 258 215 198 231 226 239 188 253 233 253 225 271 217 241 227 313 214 296 220 5,747
Cost 51 8 65 14 36 11 45 15 56 14 67 2 60 6 38 6 25 11 45 10 40 21 48 10 704
Dosage/Adm. 342 227 330 215 340 276 234 242 291 248 288 215 286 240 323 233 344 257 313 263 361 209 334 243 6,654
Herbal/Conv.med 4 4 1 - 2 1 2 4 1 1 4 2 2 2 3 3 4 6 6 1 7 5 7 2 74
Identification 37 19 41 12 27 19 40 17 37 21 44 18 33 19 39 19 48 19 54 23 38 15 64 21 724
Interactions 24 29 24 16 23 14 33 16 20 18 37 25 32 17 45 17 38 25 28 16 31 14 34 15 591
Law/Policy 81 26 105 20 81 24 88 24 87 35 97 22 118 22 84 25 76 40 100 39 93 47 112 30 1,476
Pharmacokinetics 22 4 11 6 15 4 16 6 26 10 12 5 14 2 13 11 13 6 11 7 13 3 9 2 241
Pharmaceutics 65 32 69 24 46 39 71 23 45 27 62 29 85 19 66 33 70 32 73 37 78 34 75 17 1,151
Preg.& Lact. 19 4 28 7 23 13 27 16 13 12 27 13 24 10 18 17 45 12 32 17 20 11 25 7 440
Ther.use/Efficacy 113 53 86 49 87 59 65 58 75 75 90 65 95 59 111 71 144 71 103 66 108 63 110 62 1,938
Total 1,233 736 1,246 624 1,125 816 1,016 721 1,064 779 1,182 661 1,231 719 1,207 763 1,304 814 1,249 817 1,319 741 1,358 722 23,447
Number of questions 1,969 1,870 1,941 1,737 1,843 1,843 1,950 1,970 2,118 2,066 2,060 2,080 23,447

197
OTHER MEDICAL SERVICES IN 2016
198
Number of questions answered of toxicology in 2016, classified by vocation consultant type
Toxicology Division, Siriraj hospital
Number of answer questions
STATISTICAL REPORT 2016

Consultant January February March April May June July August September October November December Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Doctor 33 118 54 97 60 108 36 122 41 122 61 112 49 139 60 132 53 105 41 101 52 99 33 99 1,927
Pharmacist 2 - 1 - 1 - - - - 1 - - - 1 - - - 1 1 - 1 - 4 1 14
Nurse 1 1 - - 1 1 - - 1 - 1 - 1 1 1 3 2 2 1 - 1 4 - 2 24
People 1 - 1 - - - - - - - - - - - 1 - - - - - - - - - 3
Total 37 119 56 97 62 109 36 122 42 123 62 112 50 141 62 135 55 108 43 101 54 103 37 102 1,968

Number of questions answered of toxicology in 2016, classified by age of patients receiving toxic
Toxicology Division, Siriraj hospital
Number of answer questions
Age January February March April May June July August September October November December Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
15 years up 26 83 40 70 48 61 31 99 37 93 46 85 40 108 52 105 47 81 23 73 46 83 28 78 1,483
Less than 15 years 10 33 14 26 14 48 5 21 5 29 16 27 10 33 10 30 8 27 12 16 8 19 8 24 453
Information 1 3 2 1 - - - 2 - 1 - - - - - - - - 8 12 - 1 1 - 32
Total 37 119 56 97 62 109 36 122 42 123 62 112 50 141 62 135 55 108 43 101 54 103 37 102 1,968
Number of questions answered of toxicology in 2016, classified by types of toxins
Toxicology Division, Siriraj hospital

Number of answer questions


Toxins January February March April May June July August September October November December Total
In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out In Out
Drug/ Medical products 14 48 29 42 29 44 10 53 14 44 22 46 21 56 20 42 17 55 11 45 27 51 18 42 800
Insecticides and other pesticides 3 20 5 13 3 18 4 10 4 17 10 10 4 19 9 18 7 9 8 5 6 11 4 12 229
Herbicides 3 10 4 7 4 5 7 7 5 9 8 7 4 16 11 14 5 12 1 8 3 4 1 7 162
Household products 4 19 5 16 6 21 5 23 3 16 6 21 2 17 2 24 4 12 6 17 6 14 1 15 265
Poisonous animals 3 4 2 2 1 - 2 4 2 4 3 4 5 7 3 4 5 8 3 9 4 3 - 5 87
Poisonous plants - - - 1 - - - - - 2 1 1 - 1 - 2 1 - - - 1 1 1 - 12
Mushroom toxins - - - - - - - - - 3 1 3 1 1 - 3 3 - 1 5 - 3 1 - 25
Food toxin and contamination - 1 1 2 - 1 - - 1 2 - 1 1 - 1 - 1 - - - - 1 1 1 15
Hydrocarbon 2 2 2 6 3 5 1 8 2 7 3 1 1 4 3 4 - 1 2 3 - 2 - 3 65
Abuse agent and toxic alcohol - - - - 3 3 3 6 3 6 2 1 1 3 6 6 1 1 3 1 - 5 1 3 58

Other 8 15 8 8 13 12 4 11 8 13 6 17 10 17 7 18 11 10 8 8 7 8 9 14 250
Total 37 119 56 97 62 109 36 122 42 123 62 112 50 141 62 135 55 108 43 101 54 103 37 102 1,968
TDM - - 1 - - - - - - - - - 1

199
OTHER MEDICAL SERVICES IN 2016
STATISTICAL REPORT 2016

Statistics of Research Center for Nutritional Support


Number of consulted patients in 2016, classified by patient's type, Siriraj Hospital

Patient's type Unit Number


1. In-patients (adult only) consult for nutrition support visits 418
2. Out-patients at Nutritional clinic services 1,481
3. In and out-patients received nutrition advice before and after bariatric surgery services 471
4. Out-patients consult for psychiatric TMHQ screening before bariatric surgery visits 84
5. In and out patients consult for nutrition advice services 35
6. In and out patients consult for Indirect Calorimetry test (Metabolic test) services 23
7. Service of enteral feeding pump services 2,308
8. Service of energy composition analysis by bomb calorimeter method services 161

200
Statistics of Siriraj Primary Care Unit
Number of patients receiving services in 2016, classified by diagnosis type, Siriraj Hospital

Number of patients
Diagnosis type Unit
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
1. Treatment and Health Promotion person 3,714 3,824 4,077 352 3,717 3,874 3,505 4,063 4,000 3,636 4,088 3,679 17,471*
1.1 Common disease diagnosis and treatment visit 4,607 4,730 5,196 4,271 4,521 4,821 4,341 5,178 4,928 4,449 5,154 4,565 56,761
1.2 Antenatal care visit 83 88 109 74 97 68 70 84 81 52 77 66 949
1.3 Vaccines and child development visit 53 50 51 38 69 56 55 50 47 62 59 43 633
1.4 Home visit visit 26 29 39 27 30 36 29 43 54 43 43 30 429
1.5 Dentistry visit 215 200 296 214 241 266 215 260 258 254 269 215 2,903
2. Applied Thai Traditional Medicine in PCU visit 158 159 169 135 157 179 166 175 177 133 167 174 1,949
3. Applied Thai Traditional Medicine in community visit 75 79 98 77 62 116 74 102 42 92 99 68 984
4. Health condition screening in the community services 6 8 9 7 7 9 7 9 5 7 7 7 88
visit 99 81 172 135 208 104 193 148 166 193 148 166 1,813
5. Forward for treatment at Siriraj Hospital person 1,342 1,406 1,539 1,414 1,451 1,390 1,253 1,531 1,380 1,349 1,631 1,295 10,375*

Remark : *Number of patients (Total) Hn no repeat

201
OTHER MEDICAL SERVICES IN 2016
STATISTICAL REPORT 2016

Number of monthly patients in 2016, classified by patient's type


Siriraj Primary Care Unit, Siriraj Hospital

Number of patients
Month Total
New visitor Revisitor
January 232 3,513 3,709*
February 221 3,630 3,819*
March 231 3,883 4,073*
April 190 3,362 3,530*
May 223 3,524 3,714*
June 212 3,693 3,871*
July 177 3,351 3,503*
August 248 3,854 4,060*
September 244 3,801 3,998*
October 215 3,448 3,634*
November 283 3,844 4,084*
December 186 3,510 3,672*
Total 2,662 16,052* 17,476*

Remark : *Number of patients (Total) Hn no repeat

202
OTHER MEDICAL SERVICES IN 2016

Statistics of Medical Record Division


Number of new patient registration in 2016, classified by type of registration
Out patient Medical Record Unit, Siriraj Hospital
Number of New patient registration
Month Total
Walk in Online
January 9,330 2,168 11,498
February 9,214 1,859 11,073
March 10,755 2,499 13,254
April 9,267 2,350 11,617
May 9,626 2,223 11,849
June 10,423 2,250 12,673
July 9,818 2,019 11,837
August 10,378 2,296 12,674
September 9,533 2,089 11,622
October 9,252 1,887 11,139
November 8,935 2,151 11,086
December 8,112 1,732 9,844
Total 114,643 25,523 140,166

Number of patient registration in The disbursement of the money being official in 2016
Classified by type of official, Out patient Medical Record Unit, Siriraj Hospital
Number of patient registration
Month Total
Civil Servants Bangkok officials
January 1,669 113 1,782
February 1,802 107 1,909
March 2,303 207 2,510
April 2,460 209 2,669
May 2,157 143 2,300
June 2,080 128 2,208
July 1,802 118 1,920
August 2,129 158 2,287
September 2,040 147 2,187
October 2,351 230 2,581
November 1,850 152 2,002
December 1,700 109 1,809
Total 24,343 1,821 26,164

203
STATISTICAL REPORT 2016

Number of informed services regarding birth - death in 2016, classified by gender


Out patient Medical Record Unit, Siriraj Hospital
Certificate of Birth Certificate of Death
Month
Male Female Total Male Female Total
January 374 317 691 108 83 191
February 293 306 599 93 76 169
March 336 307 643 108 87 195
April 362 353 715 110 99 209
May 329 360 689 90 107 197
June 308 314 622 88 106 194
July 336 320 656 103 88 191
August 361 366 727 107 91 198
September 368 373 741 108 80 188
October 346 337 683 105 88 193
November 339 319 658 74 100 174
December 338 333 671 111 100 211
Total 4,090 4,005 8,095 1,205 1,105 2,310

Number of working in 2016, classified by working category


Medical Coding Unit, Medical Record Division, Siriraj Hospital
List Number of copy
1. Provide and record ICD code in the out-patient medical record 3,636,098
2. Scan the out-patient medical record document at the medical unit 3,636,098
3. Check the ICD coding in the out-patient medical record 7,520
4. Check the ICD coding in the in-patient medical record 852
5. Completeness evaluation of out-patient medical record (MRA) 480
according to the NHSO manual
6. Completeness evaluation of in-patient medical record (MRA) 480
according to the NHSO manual

204
OTHER MEDICAL SERVICES IN 2016

Number of services for the request of medical history through Office of the Director
Classified by the objective of client in 2016
In Patients Medical Record Unit, Medical Record Division, Siriaj Hospital
The objective of client (Topic)
Month Life Writs Social Continuing Claim Other Total
assurance welfare care the treatment cost
January 288 - 33 - 3 5 329
February 303 - 26 3 1 1 334
March 408 - 28 1 3 4 444
April 254 1 20 5 1 7 288
May 351 - 33 3 - 4 391
June 339 - 28 1 2 6 376
July 289 - 30 - 4 1 324
August 417 1 25 5 3 - 451
September 352 - 21 1 2 3 379
October 373 - 28 - 3 2 406
November 360 - 25 3 - 3 391
December 273 - 24 2 - 2 301
Total 4,007 2 321 24 22 38 4,414

Number of data retrieving services regarding birth - death in 2016, classified by month
In Patients Medical Record Unit, Medical Record Division, Siriaj Hospital
Number of data retrieving services
Month Total
Birth Dead
January 2 6 8
February 10 8 18
March 4 7 11
April 8 5 13
May 7 3 10
June 6 5 11
July 5 3 8
August 9 6 15
September 13 4 17
October 8 3 11
November 4 4 8
December 8 7 15
Total 84 61 145

205
STATISTICAL REPORT 2016

Number of electronic medical record services in 2016, classified by the services pattern
Medical Statistics Report Unit, Medical Record Division, Siriaj Hospital
Number of electronic medical record services
Month CD Online (BuddyScan) Total
Client (visits) Medical Record (Copy) Client (visits) Medical Record (Copy) visits Copy
January 500 13,467 3,057 44,568 3,557 58,035
February 495 7,929 2,817 40,394 3,312 48,323
March 531 11,033 3,160 42,534 3,691 53,567
April 363 4,265 2,198 28,909 2,561 33,174
May 472 4,444 2,344 31,348 2,816 35,792
June 573 11,546 2,670 41,303 3,243 52,849
July 470 8,031 2,483 33,116 2,953 41,147
August 573 13,408 2,934 44,780 3,507 58,188
September 514 7,586 2,975 34,458 3,489 42,044
October 44 157 2,797 31,296 2,841 31,453
November 337 4,551 3,133 38,637 3,470 43,188
December 265 7,461 2,713 34,023 2,978 41,484
Total 5,137 93,878 33,281 445,366 38,418 539,244

Number of medical statistics information services in 2016, classified by the client's objective
Medical Statistics Report Unit, Medical Record Division, Siriaj Hospital
Number of services (Topic)
Month
Research Teaching Other Total
January 32 1 13 46
February 22 0 13 35
March 22 2 8 32
April 12 1 2 15
May 17 1 5 23
June 24 0 0 24
July 21 2 2 25
August 33 5 5 43
September 21 1 5 27
October 31 0 3 34
November 34 1 18 53
December 38 2 17 57
Total 307 16 91 414

206
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