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Statistical Report 2017


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


December 2018

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
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Foreword

Siriraj Statistical Report 2017 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 2017
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 2017
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 2017
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..........................................................................................................................................................
65
Department of Otorhinolaryngology.......................................................................................................................................
67
Page
Department of Ophthalmology.........................................................................................................................................................
69
Department of Orthopaedic surgery.......................................................................................................................................
71
Department of Rehabilitation medicine.......................................................................................................................................
73
Department of Radiology...............................................................................................................................................................
75
Department of Psychiatry.............................................................................................................................................................
77
Department of Emergency Medicine..............................................................................................................................................
79
Department of Her Majesty Cardiac Center.......................................................................................................................................
81
Department of Pharmacology....................................................................................................................................................
83
Department of Anesthesiology...................................................................................................................................................
83

Trends in 2008 - 2017


Trends in number of new visitor and revisitor of out-patients..................................................................................................................
87
Trends in number of hospital visits and clinical services of out-patients................................................................................................
88
Trend in number of in-patients..............................................................................................................................................................
89
Trends in number of births and deaths of in-patients.....................................................................................................................
90
Trends in number of physician registered nurse and bed.....................................................................................................................
91

Other medical services in 2017


Statistics of Department of Anatomy
 Number of body donor classfied by gender.................................................................................................................. 95
Statistics of Department of Pediatrics
 Hospital length of stay by top 10 diagnosis....................................................................................................................
96
 Top ten causes of death.........................................................................................................................................................
96
 Number of hospital visit of out-patients classified by month......................................................................................... 97
 Number of out-patients classified by clinic.............................................................................................................................
97
 Number of out-patients classified by division............................................................................................................................
98
 Top ten diagnosis of out-patient (office hour)...................................................................................................................
100
 Top ten procedures of out-patient (office hour)...................................................................................................................
100
 Top ten diagnosis of out-patient (special clinic)...................................................................................................................
101
 Top ten procedures of out-patient (special clinic)...................................................................................................................
101
Statistics of Department of Psychiatry
 Number of out-patients of General Psychiatry Clinic classified by age and gender...................................................................... 102
 Number of out-patients of General Psychiatry Clinic classified by patient's type...........................................................................
103
Page
 Top five diagnoses of out-patients of General Psychiatry Unit...............................................................................
104
 Top five diagnoses of new patients of General Psychiatry Unit...............................................................................
104
 Number of out-patients of General Psychiatry Unit classified by clinic...............................................................................
105
 Number of out-patients classified by gender: Psychiatric Rehabilitation and Community Unit......................................................
107
 Top five diagnoses of Psychiatry Rehabilitation and Community Unit............................................................................................
107
 Number of out-patients classified by patient's type: Psychiatric Rehabilitation and Community Unit...........................................
108
 Top five diagnoses of new patients: Division of Child and Adolescent Psychiatry.........................................................................
108
Statistics of Department of Microbiology
 Number of specimen receiving and registering services............................................................................................
109
 Number of services: Bacteriology Laboratory..................................................................................................................
110
 Number of services: Mycobacteriology & Mycology Laboratory.....................................................................................................
111
 Number of services: Virology Laboratory......................................................................................................................
112
 Number of services: Serology Laboratory......................................................................................................................
113
 Number of services: Molecular Microbiology Laboratory................................................................................................................
115
 Number of services: Environmental Microbiology Laboratory.........................................................................................................
118
Statistics of Department of Dermatology
 Number of patient services classified by clinic.......................................................................................................................
120
 Number of patient services classified by laboratory testing…........................................................................................................
121
 Number of patient services classified by operative..........................................................................................................
122
Statistics of Department of Forensic Medicine
 Number of patients classified by indicators.................................................................................................................
123
Statistics of Department of Parasitology
 Number of examining at the central laboratory classified by type of examining............................................................................
124
 Number of examining at the special laboratory classified by type of examining............................................................................
125
Statistics of Department of Pathology
 Number of services classified by working type............................................................................................................
126
Statistics of Department of Clinical Pathology
 Number of laboratory examination and services provision classified by laboratory......................................................................
129
 Number of examination at Central Laboratory: Chemical clinic......................................................................................
130
 Number of examination at Central Laboratory: Hemostasis system......................................................................................
134
 Number of examination at Central Laboratory: Hematology..............................................................................................
135
 Number of examination at Central Laboratory: Microscopy..............................................................................................
136
 Number of examination at Special Laboratory: Serology and Immunology....................................................................................
137
Page
 Number of examination at Special Laboratory: Hemostasis system..............................................................................................
140
 Number of examination at Special Laboratory: Infant Down Syndrome Screening Test................................................................
140
 Number of examination at Molecular Clinical Pathology Laboratory..............................................................................................
141
 Number of examination at Point of Care (Glucose)..................................................................................................
141
Statistics of Department of Pharmacology
 Number of laboratory services classified by services..................................................................................................
142
Statistics of Department of Radiology
 Number of patients in Out-patients unit classified by patient's type: Division of Radiotherapy.....................................................
144
 Number of patients and Bed Occupancy Rate in In-patients unit: Division of Radiotherapy.........................................................145
 Number of patients classified by unit: Division of Radiotherapy.....................................................................................................
146
 Number of patients classified by examination: Division of Diagnostic Radiology...........................................................................
147
 Number of services in CT Scan classfied by organ system: Division of Nuclear Medicine...........................................................148
 Number of other services than scanning (1) classified by work type: Division of Nuclear Medicine............................................. 150
 Number of other services than scanning (2) classified by work type: Division of Nuclear Medicine............................................. 151
Statistics of Department of Immunology
 Number of patients classified by diagnosis type..............................................................................................................
153
Statistics of Department of Anesthesiology
 Number of patients services classified by unit..............................................................................................................
156
 Number of Anesthesia services classified by patient's type.................................................................................................
157
 Number of Anesthesia services classified by services unit.................................................................................................
158
Statistics of Department of Transfusion Medicine
 Number of services and working classified by working type.................................................................................................
159
Statistics of Department of Preventive and Social Medicine
 Number of treatment services classified by clinic..........................................................................................................
161
Statistics of Department of Rehabilitation Medicine
 Number of out-patients classified by clinic..........................................................................................................................
162
 Number of consultation case classified by clinic...........................................................................................................
164
Statistics of Department of Surgery
 Number of operation classified by patient's type: Division of Vascular Surgery.............................................................................
165
 Number of patients classified by patient's type: Division of Trauma Surgery.................................................................................
166
 Number of operation classified by patient's type: Division of Trauma Surgery..............................................................................
167
Statistics of Department of Orthopaedic Surgery
 Number of patients in each month classified by unit.....................................................................................................
168
Page
Statistics of Department of Physiology
 Number of laboratory examination classified by patient's type: Division of Cardiovascular Physiology........................................ 169
Statistics of Department of Obstetrics and Gynaecology
 Number of patients in each month classified by patient's type.......................................................................................................
170
 Number of Birth and Neonate classified by gender.....................................................................................................................
171
Statistics of Department of Otorhinolaryngology
 Number of out-patients classified by clinic....................................................................................................................
172
 Number of patients at Special clinic classified by clinic..................................................................................................................
172
 Number of patients of Neuro-Otology clinic: Division of Otology, Neuro Otology & Audiology..................................................... 173
 Number of patients of Audiology room: Division of Otology, Neuro Otology & Audiology............................................................ 174
 Number of patients of Hearing aide room: Division of Otology, Neuro Otology & Audiology........................................................ 174
 Top ten diseases of Speech and Language Clinic: Division of Laryngology Head & Neck Surgery............................................. 175
 The treatment ranking of Speech and Language clinic: Division of Laryngology Head & Neck Surgery...................................... 175
 Number of patients of Allergy Clinic: Division of Rhinology & Allergy.............................................................................................
176
 Number of out-patients classified by age and gender....................................................................................................................
176
 Top twenty diseases of general ENT unit and special clinic...........................................................................................................
177
 Top twenty procedures of general ENT unit and special clinic.......................................................................................................
178
 Number of in-patients classified by ward....................................................................................................................
179
 Number of in-patients classified by age and gender....................................................................................................................
179
 Number of in-patients classified by patient's type....................................................................................................................
180
 Top twenty diseases of in-patients...................................................................................................................................
181
th
182
 Number of operations in the operating theater on the 4 floor of Syamindra Building...................................................................
 Number of operations in the operating room classified by key performance index list..................................................................
183
th
184
 Top twenty diseases in the operation on the 4 floor of Syamindra Building.................................................................................
th
185
 Top twenty procedures in the operation on the 4 floor of Syamindra Building.............................................................................
th
185
 Number of medical services in the operation on the 4 floor of Syamindra Building.....................................................................
Statistics of Department of Medicine
 Number of discharged patients classified by patients ward...........................................................................................................
186
Statistics of Center of Appled Thai Traditional Medicine
 Number of patients diagnose of Thai traditional medicine..............................................................................................................
187
 Number of services of Siriraj Sappaya-sthana for health promotion..............................................................................................
188
 Number of production and pharmaceutical distribution and Herbal products...............................................................................
189
Page
Statistics of Sirindhorn School of Prosthetics and Orthotics
 Number of devices with produce for patients of Prosthetics and Orthotics clinic..........................................................................
190
 Number of patients at Prosthetics and Orthotics clinic..............................................................................................
192
Statistics of Her Majesty Cardiac Center
 Number of out-patients classified by unit of treatment service.......................................................................................................
193
 Number of out-patients of Cardiovascular Intervention classified by month..................................................................................
194
 Number of out-patients of Heart clinic classified by month.............................................................................................................
196
 Number of out-patients of Cardiovascular Special Intervention classified by month.....................................................................
197
 Number of patients of Magnetic Resonance Imaging room classified by month...........................................................................
199
 Number of in-patients classified by ward......................................................................................................................................
203
 Number of in-patients of post-Intermediate ward classified by service unit...................................................................................
204
 Number of in-patients of Intermediate Cardiac ward classified by month.....................................................................................
204
Statistics of Siriraj Palliative Care Center
 Number of services provision to patient classified by month and unit............................................................................................
205
Statistics of Pharmacy Division
 Number of services classified by type of services...................................................................................................................
206
Statistics of Nutrition Department
 Number of services patients classified by patient's type................................................................................................................
207
Statistics of Dental Department
 Number of services provision to patient classified monthly.............................................................................................................
208
Statistics of Toxicology Division
 Number of clinical toxicology laboratory tests classified by list.......................................................................................
209
 Number of samples laboratory of Clinical Toxicology classified by list.......................................................................................
210
 Number of the response to the question about drugs classified by genre questioner...................................................................
219
 Number of the response to the question about drugs classified by questions...............................................................................
220
 Number of questions answered of toxicology classified by vocation consultant............................................................................
221
 Number of questions answered of toxicology classified by age of patients receiving toxic..........................................................
221
 Number of questions answered of toxicology classified by type of toxins......................................................................................
222
Statistics of Siriraj Organ Transplant
 Number of services classified by services category: Organ transplantation clinic........................................................................
223
Statistics of Research Center for Nutritional Support
 Number of consulted patients classified by patient's type.......................................................................................................
224
Page
Statistics of Patient Transfer Division
 Number of providing moving services classified by type of services...................................................................................
225
Statistics of Siriraj Primary Care Unit
 Number of patients receiving services classified by diagnosis type...................................................................................
226
Statistics of Medical Record Division
 Number of new patient registration: Out patient Medical Record Unit............................................................................................
227
 Number of patient registration in The disbursement of the money being official............................................................................
227
 Number of informed services regarding birth-death: Out patient Medical Record Unit.................................................................
228
 Number of working classified by working category: Medical Coding Unit.....................................................................................
228
 Number of services for the request of medical history through Office of the Director....................................................................
229
 Number of data retrieving services regarding birth-death: In patient Medical Record Unit..........................................................
229
 Number of medical statistics services: Medical Statistics Report Unit................................................................................
230
GENERAL DATA
IN 2017
.
GENERAL DATA IN 2017

Number of personnel in 2017, classified by position

Position Number
Physician 2,139 13.40
Dentist 21 0.13
Pharmacist 219 1.37
Registered nurse 3,414 21.38
Practical nurse 2,382 14.92
Others 7,790 48.79
Total 15,965 100.00

Data source: Human resource department


Date: 31 December 2017

Percentage of personnel in 2017, classified by position

Others
Practical nurse 48.79%
14.92%

Registered nurse
Physician
21.38% Dentist
Pharmacist 13.40%
1.37% 0.13%

3
STATISTICAL REPORT 2017

Number of physicians in 2017, classified by field of specialty


Field of Specialty / Physicians in position
Total
Department Medical Instructor Doctor Specialist Fellow Fellowship Resident
Anatomy 10 20 - - - - 30
Anesthesiology 67 10 - 2 8 78 165
Biochemistry 10 10 - - - - 20
Clinical Pathology 14 4 - - - 2 20
Dermatology 22 - - 4 - 29 55
Emergency medicine 9 2 - - - 16 27
Forensic medicine 10 5 - - - 11 26
Immunology 9 3 - - - - 12
Medicine 140 25 2 10 95 192 464
Microbiology 8 - - - - - 8
Obstetrics & Gynecology 62 1 - 3 19 46 131
Ophthalmology 28 - - 9 - 30 67
Orthopaedic surgery 39 2 - 13 - 47 101
Otolaryngology 24 1 - 6 - 29 60
Parasitology 5 1 - - - - 6
Pathology 26 4 - - 1 15 46
Pediatrics 67 9 - 1 43 74 194
Pharmacology 13 6 - - - - 19
Physiology 14 11 - - - - 25
Preventive and Social Medicine 15 8 - - - - 23
Psychiatry 23 4 - - - 32 59
Radiology 61 9 1 1 26 107 205
Rehabilitation medicine 18 1 - - - 26 45
Surgery 107 7 1 11 8 152 286
Transfusion medicine 6 - - - - - 6
Her Majesty Cardiac Center 4 3 - - - - 7
Other 7 24 1 - - - 32
Total 818 170 5 60 200 886 2,139
Data source: Human resource department
Date: 31 December 2017

4
GENERAL DATA IN 2017

Number of beds in each department in 2017, classified by types of bed


Types of bed
Department Total
I.C.U Special Ordinary Critical Crib
Medicine 41 161 283 8 - 493
Obstretrics & Gynaecology - 79 166 - 116 361
Ophthalmology - 24 53 - - 77
Otorhinolaryngology - - 40 - - 40
Ophthalmology & Otorhinolaryngology - 17 16 - - 33
Orthopaedic - 120 92 - - 212
Pediatrics 27 40 207 - - 274
Psychiatry - - 16 - - 16
Radiology - - 33 - - 33
Surgery 48 121 280 8 - 457
Cardiovascular center 7 - 18 - - 25
Other - 40 - - - 40
Total 123 602 1,204 16 116 2,061

Data source: Nursing department


Date: 30 April 2018

5
.
OUT-PATIENTS
IN 2017
.
OUT-PATIENTS IN 2017

Number of out-patients in 2017, classified by unit and gender

Gender
Unit Total
Male Female
Population 197,828 360,735 558,563
- New visitor 41,450 58,485 99,935
- Revisitor 156,378 302,250 458,628
Hospital visits 1,100,950 1,939,663 3,040,613
Clinical services 1,405,754 2,431,290 3,837,044

Data source: Siriraj information technology department


Date: 14 September 2018

Note :
Ø Population is the number of patients : Counted by person
- New visitor is the number of new patients who come to receive service in the hospital : 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 2017

Number of hospital visits of out-patients in 2017, classified monthly

Month Number of visit


January 245,214
February 233,778
March 272,575
April 220,172
May 266,856
June 269,640
July 252,224
August 272,731
September 260,887
October 236,830
November 270,257
December 239,449
Total 3,040,613

Data source: Siriraj information technology department


Date: 14 September 2018

Number of hospital visits of out-patients in 2017, classified monthly


Number

300,000 272,575 266,856 269,640 272,731 270,257


260,887
245,214 252,224
233,778 236,830 239,449
250,000 220,172

200,000

150,000

100,000

50,000

0
Month

10
OUT-PATIENTS IN 2017

Number of clinical services of out-patients in 2017, classified monthly


Month Number of services
January 312,267
February 296,282
March 345,710
April 276,462
May 336,732
June 339,169
July 317,951
August 343,882
September 328,956
October 298,622
November 339,911
December 301,100
Total 3,837,044

Data source: Siriraj information technology department


Date: 14 September 2018

Number of hospital services of out-patients in 2017, classified monthly


Number
345,710 336,732 339,169 343,882 339,911
317,951 328,956
350,000 312,267
298,622 301,100
296,282
276,462
300,000
250,000
200,000
150,000
100,000
50,000
0
Month

11
STATISTICAL REPORT 2017

Number of hospital visits of out-patients in 2017, classified by age and gender

Gender
Age Total
Male Female
under 7 day 664 669 1,333 0.04
7-27 day 4,040 3,458 7,498 0.25
28 day - under 1 year 16,842 14,499 31,341 1.03
1-14 year 99,765 76,712 176,477 5.80
15-24 year 61,048 109,948 170,996 5.62
25-44 year 159,745 444,916 604,661 19.89
45-64 year 364,178 731,553 1,095,731 36.04
65 year and over 394,668 557,908 952,576 31.33
Total 1,100,950 1,939,663 3,040,613 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

Percentage of hospital visits of out-patients in 2017, classified by age


45-64 year
36.04%

25-44 year
19.89% 65 year and over
15-24 year 31.33%
5.62% 1-14 year under 7 day
5.80% 0.04%
28 day - under 1 year 7-27 day
1.03% 0.25%

12
OUT-PATIENTS IN 2017

Number of clinical services of out-patients in 2017, classified by age and gender

Gender
Age Total
Male Female
under 7 day 860 864 1,724 0.04
7-27 day 5,494 4,691 10,185 0.27
28 day - under 1 year 19,653 16,612 36,265 0.95
1-14 year 116,700 89,809 206,509 5.38
15-24 year 74,060 131,033 205,093 5.35
25-44 year 199,563 539,177 738,740 19.25
45-64 year 473,342 922,808 1,396,150 36.39
65 year and over 516,082 726,296 1,242,378 32.38
Total 1,405,754 2,431,290 3,837,044 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

Percentage of clinical services of out-patients in 2017, classified by age


45-64 year
36.39%

25-44 year
19.25% 65 year and over
15-24 year 32.38%
5.35% 1-14 year under 7 day
5.38% 0.04%
28 day - under 1 year 7-27 day
0.95% 0.27%

13
14
Number of clinical services of out-patients in 2017, classified by clinic codes including subclinic codes
Month
Clinic Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
STATISTICAL REPORT 2017

Office hours
Medicine 38,467 34,355 41,831 31,688 41,332 36,782 36,965 42,509 38,786 37,315 41,305 36,630 457,965
Surgery 24,926 24,098 27,164 21,972 26,240 25,672 24,656 27,181 25,175 23,630 28,056 23,972 302,742
Ophthalmology 11,874 12,835 14,933 11,078 13,627 14,234 9,841 12,145 11,909 10,919 12,465 12,021 147,881
Orthopaedic Surgery 10,292 11,040 12,749 9,464 12,135 12,183 10,673 12,497 11,232 10,680 12,193 10,532 135,670
Radiology 9,603 9,307 11,159 8,416 11,319 11,279 10,048 11,429 10,027 9,882 12,058 10,607 125,134
Rehabilitation Medicine 8,644 8,134 10,235 7,728 9,510 10,582 8,673 10,111 8,976 8,289 9,323 8,121 108,326
Gynecology 8,717 8,558 9,865 7,841 10,072 9,060 8,975 10,156 8,892 8,468 9,221 7,759 107,584
Pediatrics 8,150 7,784 9,003 7,281 8,790 9,171 8,371 9,997 8,970 8,733 9,260 7,934 103,444
Otorhinolaryngology 7,676 7,639 9,035 6,249 8,478 8,430 7,318 8,532 7,676 7,733 7,786 8,309 94,861
Preventive and Social Medicine 4,777 5,337 6,285 4,256 6,405 16,060 11,405 12,001 7,880 5,966 6,156 4,355 90,883
Dermatology 5,912 5,942 6,819 5,427 6,657 6,660 5,964 6,692 6,820 6,584 7,003 6,342 76,822
Obstetrics 5,456 5,521 6,353 5,347 6,639 6,288 5,876 6,379 5,834 5,280 5,912 5,468 70,353
Social security 4,124 4,003 4,249 3,693 4,222 4,245 4,162 4,568 4,325 3,962 4,321 4,362 50,236
Psychiatry 3,988 3,318 4,358 3,599 4,360 4,223 3,749 4,574 3,809 4,263 4,494 4,001 48,736
Applied Thai Traditional Medicine 2,764 2,615 3,367 2,716 3,136 3,421 3,201 2,931 3,316 2,831 2,832 2,425 35,555
Dental 2,450 2,338 2,933 2,218 2,730 2,627 2,776 3,298 2,339 2,341 2,318 1,892 30,260
Her Majesty Cardiac Center 2,145 2,214 2,541 1,853 2,354 2,322 2,188 2,605 2,181 2,228 2,701 2,279 27,611
Anesthesiology 1,055 1,076 1,162 894 1,129 1,163 1,124 1,206 1,133 1,075 1,097 1,032 13,146
Other 368 337 440 354 421 483 574 1,473 383 616 550 349 6,348
Total in office hours 161,388 156,451 184,481 142,074 179,556 184,885 166,539 190,284 169,663 160,795 179,051 158,390 2,033,557
Number of clinical services of out-patients in 2017, classified by clinic codes including subclinic codes (cont.)

Month
Clinic Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
24 hours
Trauma 6,109 5,530 5,838 5,303 5,666 5,737 5,750 5,729 5,641 5,805 5,616 5,956 68,680
Emergency Room (clinic 1201) 1,518 1,430 1,523 1,364 1,442 1,403 1,561 1,613 1,597 1,515 1,573 1,525 18,064
Observation Room (clinic 12) 18 24 21 14 18 27 16 41 59 17 14 12 281
Out of Services Room 7,900 7,327 7,226 7,398 7,222 7,624 9,016 9,235 8,376 8,101 7,501 8,171 95,097
(clinic 14,1401,1402)
Lab Clinic (clinic 90) 38,983 36,576 41,778 32,521 41,506 37,645 36,303 41,254 37,821 36,115 40,542 35,873 456,917
Refill (clinic 93) 778 772 879 831 956 924 926 957 975 896 990 1,037 10,921
Unclassified (clinic 91) 1,293 1,305 1,340 1,203 1,314 1,375 1,338 1,532 1,402 1,293 1,411 1,505 16,311
Total in 24 hours 56,599 52,964 58,605 48,634 58,124 54,735 54,910 60,361 55,871 53,742 57,647 54,079 666,271

15
OUT-PATIENTS IN 2017
16
Number of clinical services of out-patients in 2017, classified by clinic codes including subclinic codes (cont.)
Month
Clinic Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
STATISTICAL REPORT 2017

Special clinic (Out of office hours)


Medicine 26,502 23,725 28,522 23,195 28,187 27,352 26,327 24,958 27,170 23,590 28,501 23,817 311,846
Surgery 7,556 6,977 8,429 6,916 8,101 8,280 8,257 7,844 8,973 7,155 9,169 7,669 95,326
Obstetrics 7,272 6,912 7,997 7,262 8,069 8,209 7,802 7,639 8,165 6,726 7,815 6,785 90,653
Radiology 6,808 6,188 7,539 5,918 7,286 7,102 6,625 7,198 7,546 6,362 7,689 6,596 82,857
Orthopaedic Surgery 6,308 6,221 7,257 6,546 6,904 7,097 6,889 6,524 7,352 5,847 7,283 6,161 80,389
Ophthalmology 5,241 4,965 6,053 4,911 5,620 5,871 5,848 5,107 6,000 4,449 5,635 5,213 64,913
Bank of Thailand (BOT) 3,967 3,999 4,184 3,204 3,785 4,158 3,553 4,170 3,892 3,369 4,274 4,014 46,569
Dermatology 3,932 3,671 3,781 3,165 3,869 4,199 3,851 3,857 4,295 3,127 4,059 3,557 45,363
Pediatrics 3,683 3,319 3,856 3,160 3,705 4,195 3,884 3,841 3,838 3,081 3,872 3,297 43,731
Preventive and Social Medicine 2,592 2,683 3,286 2,729 3,208 2,971 2,870 3,011 3,103 2,200 3,212 2,637 34,502
Otorhinolaryngology 2,675 2,486 2,873 2,106 2,491 2,703 2,518 2,596 2,732 2,369 2,568 2,355 30,472
Rehabilitation Medicine 1,668 1,433 1,893 1,739 1,771 1,638 1,798 1,685 2,021 1,825 1,769 1,755 20,995
Psychiatry 1,350 1,266 1,252 1,342 1,369 1,363 1,245 1,387 1,476 1,150 1,410 1,300 15,910
Dental 1,419 1,326 1,518 1,235 1,496 1,328 1,323 1,307 1,413 1,086 1,217 1,069 15,737
Gynecology 0 0 0 0 0 415 540 827 1,018 830 1,034 827 5,491
Lab Clinic (clinic 4790) 13,217 11,601 14,069 12,275 13,150 12,629 13,139 11,243 14,366 10,893 13,657 11,439 151,678
Unclassified (clinic 4791) 90 95 115 51 41 39 33 43 62 26 49 140 784
Total in Special clinic 94,280 86,867 102,624 85,754 99,052 99,549 96,502 93,237 103,422 84,085 103,213 88,631 1,137,216
Grand Total 312,267 296,282 345,710 276,462 336,732 339,169 317,951 343,882 328,956 298,622 339,911 301,100 3,837,044

Data source: Siriraj information technology department


Date: 14 September 2018
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients in 2017, classified by Health insurance

Health insurance Number of visit


Welfare commissioner 1,093,260 35.96
Own-paid 1,075,258 35.36
Universal Coverage 546,578 17.98
Social Security 252,004 8.29
Other 73,513 2.42
Total 3,040,613 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

Percentage of hospital visits of out-patients in 2017, classified by Health insurance

Own-paid
Welfare commissioner 35.36%
35.96%

Universal Coverage
Other
Social Security 17.98%
2.42%
8.29%

17
STATISTICAL REPORT 2017

Number of hospital visits of out-patients in 2017, classified by regions and gender

Gender
Regions Total
Male Female
Bangkok 592,965 1,062,660 1,655,625 54.45
Central 366,628 649,102 1,015,730 33.41
East 31,215 48,960 80,175 2.64
North 29,290 49,232 78,522 2.58
South 33,053 57,157 90,210 2.97
Northeast 38,847 57,843 96,690 3.18
Unknow 8,952 14,709 23,661 0.78
Total 1,100,950 1,939,663 3,040,613 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

18
OUT-PATIENTS IN 2017

Percentage of hospital visits of out-patients in 2017, classified by regions

North
2.58%

Northeast
3.18%

%%
Central
33.41%
East
2.64%

Bangkok
54.45%

South
2.97%

19
STATISTICAL REPORT 2017

Number of hospital visits of out-patients residing in Bangkok in 2017


Classified by districts
Number Percentage (%)
Districts
Male Female Total Male Female Total
Bang Bon 13,097 24,992 38,089 0.79 1.51 2.30
Bang Kapi 5,390 8,982 14,372 0.33 0.54 0.87
Bang Khae 41,937 74,067 116,004 2.53 4.47 7.01
Bang Khen 5,586 9,498 15,084 0.34 0.57 0.91
Bang Kho Laem 4,676 8,308 12,984 0.28 0.50 0.78
Bang Khun Thian 13,397 26,746 40,143 0.81 1.62 2.42
Bang Na 3,697 5,488 9,185 0.22 0.33 0.55
Bang Phlat 36,267 64,131 100,398 2.19 3.87 6.06
Bang Rak 2,792 4,205 6,997 0.17 0.25 0.42
Bang Sue 9,435 18,898 28,333 0.57 1.14 1.71
Bangkok Noi 87,194 161,273 248,467 5.27 9.74 15.01
Bangkok Yai 33,884 61,556 95,440 2.05 3.72 5.76
Bueng Kum 4,324 7,156 11,480 0.26 0.43 0.69
Chatuchak 9,902 17,146 27,048 0.60 1.04 1.63
Chom Thong 19,933 39,262 59,195 1.20 2.37 3.58
Din Daeng 3,475 7,189 10,664 0.21 0.43 0.64
Don Mueang 3,424 5,970 9,394 0.21 0.36 0.57
Dusit 5,678 10,923 16,601 0.34 0.66 1.00
Huai Khwang 3,405 6,621 10,026 0.21 0.40 0.61
Khan Na Yao 3,369 5,510 8,879 0.20 0.33 0.54
Khlong Sam Wa 894 1,708 2,602 0.05 0.10 0.16
Khlong San 14,735 26,903 41,638 0.89 1.62 2.51
Khlong Toei 3,290 4,622 7,912 0.20 0.28 0.48
Lak Si 3,580 6,165 9,745 0.22 0.37 0.59
Lat Krabang 2,199 3,858 6,057 0.13 0.23 0.37
Lat Phrao 5,006 8,806 13,812 0.30 0.53 0.83
Min Buri 2,300 3,702 6,002 0.14 0.22 0.36
Nong Chok 1,030 1,770 2,800 0.06 0.11 0.17

20
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients residing in Bangkok in 2017


Classified by districts (cont.)
Number Percentage (%)
Districts
Male Female Total Male Female Total
Nong Khaem 20,726 39,519 60,245 1.25 2.39 3.64
Pathum Wan 2,531 3,329 5,860 0.15 0.20 0.35
Phasi Charoen 41,992 81,799 123,791 2.54 4.94 7.48
Phaya Thai 4,087 7,560 11,647 0.25 0.46 0.70
Phra Khanong 3,611 6,188 9,799 0.22 0.37 0.59
Phra Nakhon 12,449 20,203 32,652 0.75 1.22 1.97
Pom Prap Sattru Phai 4,706 7,513 12,219 0.28 0.45 0.74
Prawet 4,342 6,615 10,957 0.26 0.40 0.66
Rat Burana 8,773 15,770 24,543 0.53 0.95 1.48
Ratchathewi 4,123 6,290 10,413 0.25 0.38 0.63
Sai Mai 1,439 2,674 4,113 0.09 0.16 0.25
Samphanthawong 2,388 3,956 6,344 0.14 0.24 0.38
Saphan Sung 3,871 6,339 10,210 0.23 0.38 0.62
Sathon 4,365 7,018 11,383 0.26 0.42 0.69
Suan Luang 3,888 5,113 9,001 0.23 0.31 0.54
Taling Chan 57,371 95,490 152,861 3.47 5.77 9.23
Thawi Watthana 24,236 41,617 65,853 1.46 2.51 3.98
Thon Buri 22,492 42,246 64,738 1.36 2.55 3.91
Thung Khru 9,821 17,751 27,572 0.59 1.07 1.67
Vadhana 2,633 4,327 6,960 0.16 0.26 0.42
Wang Thonglang 4,120 7,066 11,186 0.25 0.43 0.68
Yan Nawa 3,873 6,710 10,583 0.23 0.41 0.64
Unclassified 1,232 2,112 3,344 0.07 0.13 0.20
Total 592,965 1,062,660 1,655,625 35.82 64.18 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

21
22
Percentage of hospital visits of out-patients residing in Bangkok in 2017, classified by districts
STATISTICAL REPORT 2017

Don Mueang
0.57
Sai Mai 0.25
Lak Si Khlong Sam Wa
0.59 Bang Khen 0.91 0.16 Nong Chok
0.17
Chatuchak Lat Phrao 27
21 0.83
1.63 26 Min Buri
Thawi Watthana Taling Chan 0.36
8 20 22 25 Saphan
23 Bang
3.98 9.23 7 24 Sung
15 14 19 Kapi 0.87 Lat Krabang
13 18 Suan Luang 0.62 0.37
6 17
Bang Khae 5 11 12 16 0.54
Nong 4 10
7.01 Prawet
Khaem 3 28
2 9 0.66
3.64 1 Bang Na 0.55
Bang Bon
2.30 Thung
Khru
Bang Khun Thian
1.67 1. Rat Burana 1.48 8. Bang Phlat 6.06 15. Phra Nakhon 1.97 22. Phaya Thai 0.70
2.42
2. Chom Thong 3.58 9. Yan Nawa 0.64 16. Khlong Toei 0.48 23. Din Daeng 0.64
3. Bang Kho Laem 0.78 10. Sathon 0.69 17. Vadhana 0.42 24. Huai Khwang 0.61
4. Thon Buri 3.91 11. Khlong San 2.51 18. Pathum Wan 0.35 25. Wang Thonglang 0.68
5. Phasi Charoen 7.48 12. Bang Rak 0.42 19. Ratchathewi 0.63 26. Bueng Kum 0.69
6. Bangkok Noi 15.01 13. Samphanthawong 0.38 20. Dusit 1.00 27. Khan Na Yao 0.54
7. Bangkok Yai 5.76 14. Pom Prap Sattru Phai 0.74 21. Bang Sue 1.71 28. Phra Khanong 0.59
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients residing in central Thailand in 2017


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Ang Thong 3,158 4,375 7,533 0.31 0.43 0.74
Chai Nat 3,904 6,068 9,972 0.38 0.60 0.98
Kanchanaburi 17,306 28,775 46,081 1.70 2.83 4.54
Lop Buri 4,216 7,036 11,252 0.42 0.69 1.11
Nakhon Nayok 1,519 1,927 3,446 0.15 0.19 0.34
Nakhon Pathom 58,828 104,202 163,030 5.79 10.26 16.05
Nonthaburi 123,249 233,648 356,897 12.13 23.00 35.14
Pathum Thani 16,018 26,261 42,279 1.58 2.59 4.16
Phetchaburi 12,322 21,462 33,784 1.21 2.11 3.33
Phra Nakhon Si Ayutthaya 7,593 12,533 20,126 0.75 1.23 1.98
Prachuap Khiri Khan 9,027 14,810 23,837 0.89 1.46 2.35
Ratchaburi 22,747 35,156 57,903 2.24 3.46 5.70
Samut Prakan 27,407 48,208 75,615 2.70 4.75 7.44
Samut Sakhon 24,007 44,564 68,571 2.36 4.39 6.75
Samut Songkhram 8,889 14,508 23,397 0.88 1.43 2.30
Saraburi 3,864 6,013 9,877 0.38 0.59 0.97
Sing Buri 2,999 5,808 8,807 0.30 0.57 0.87
Suphan Buri 19,575 33,748 53,323 1.93 3.32 5.25
Total 366,628 649,102 1,015,730 36.10 63.90 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

23
STATISTICAL REPORT 2017

Percentage of hospital visits of out-patients residing in central Thailand in 2017


Classified by provinces

Chai Nat Lopburi


0.98 1.11
1
Suphanburi
2 Saraburi
5.25
Kanchanaburi 0.97
3
4.54 7
6
4 5

Ratchaburi 9 10
5.70 8
1. Ang Thong 0.74
Phetchaburi 2. Sing Buri 0.87
3.33 3. Phra Nakhon Si Ayutthaya 1.98
4. Nakhon Pathom 16.05
Prachuap 5. Nonthaburi 35.14
Khiri Khan 6. Pathum Thani 4.16
2.35 7. Nakhon Nayok 0.34
8. Samut Songkhram 2.30
9. Samut Sakhon 6.75
10. Samut Prakan 7.44

24
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients residing in northern Thailand in 2017


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Chiang Mai 1,366 2,391 3,757 1.74 3.05 4.78
Chiang Rai 1,533 2,494 4,027 1.95 3.18 5.13
Kamphaeng Phet 2,450 3,742 6,192 3.12 4.77 7.89
Lampang 728 2,009 2,737 0.93 2.56 3.49
Lamphun 171 600 771 0.22 0.76 0.98
Mae Hong Son 77 102 179 0.10 0.13 0.23
Nakhon Sawan 6,559 10,289 16,848 8.35 13.10 21.46
Nan 1,049 1,882 2,931 1.34 2.40 3.73
Phayao 635 1,135 1,770 0.81 1.45 2.25
Phetchabun 4,194 6,732 10,926 5.34 8.57 13.91
Phichit 2,264 3,613 5,877 2.88 4.60 7.48
Phitsanulok 1,897 2,820 4,717 2.42 3.59 6.01
Phrae 970 2,150 3,120 1.24 2.74 3.97
Sukhothai 1,352 2,220 3,572 1.72 2.83 4.55
Tak 990 1,767 2,757 1.26 2.25 3.51
Uthai Thani 1,984 3,308 5,292 2.53 4.21 6.74
Uttaradit 1,071 1,978 3,049 1.36 2.52 3.88
Total 29,290 49,232 78,522 37.30 62.70 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

25
STATISTICAL REPORT 2017

Percentage of hospital visits of out-patients residing in northern Thailand in 2017


Classified by provinces

Chiang Rai
5.13
Mae Hong Phayao
Son 2.25 Nan
0.23 Chiang Mai 3.73
Lampang
4.78
Lamphun 3.49 Phrae
0.98 3.97
Uttaradit
3.88
Sukhothai
Tak 4.55
Phitsanulok
3.51 6.01
Kamphaeng
Phichit Phetchabun
Phet
7.48 13.91
7.89
Nakhon Sawan
21.46
Uthai Thani
6.74

26
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients residing in northeastern Thailand in 2017


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Amnat Charoen 504 1,132 1,636 0.56 1.25 1.81
Buengkan 184 480 664 0.20 0.53 0.74
Buri Ram 2,964 5,626 8,590 3.29 6.24 9.52
Chaiyaphum 1,754 3,422 5,176 1.94 3.79 5.74
Kalasin 1,011 1,556 2,567 1.12 1.72 2.85
Khon Kaen 1,849 3,147 4,996 2.05 3.49 5.54
Loei 901 1,478 2,379 1.00 1.64 2.64
Maha Sarakham 1,046 2,583 3,629 1.16 2.86 4.02
Mukdahan 327 841 1,168 0.36 0.93 1.29
Nakhon Phanom 1,111 1,497 2,608 1.23 1.66 2.89
Nakhon Ratchasima 6,552 9,346 15,898 7.26 10.36 17.62
Nong Bua Lam Phu 330 513 843 0.37 0.57 0.93
Nong Khai 595 995 1,590 0.66 1.10 1.76
Roi Et 2,122 3,942 6,064 2.35 4.37 6.72
Sakon Nakhon 1,368 1,952 3,320 1.52 2.16 3.68
Si Sa Ket 2,614 4,930 7,544 2.90 5.47 8.36
Surin 3,343 5,724 9,067 3.71 6.35 10.05
Ubon Ratchathani 2,202 4,241 6,443 2.44 4.70 7.14
Udon Thani 1,442 2,249 3,691 1.60 2.49 4.09
Yasothon 834 1,503 2,337 0.92 1.67 2.59
Total 33,053 57,157 90,210 36.64 63.36 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

27
STATISTICAL REPORT 2017

Percentage of hospital visits of out-patients residing in northeastern Thailand in 2017


Classified by provinces

Nong Khai 1.76 Buengkan 0.74

Nakhon
Loei Nong Bua Udon Thani Sakon Nakhon Phanom
2.64 Lam Phu 4.09 3.68 2.89
0.93
Kalasin Mukdahan
Khon Kaen 1.29
2.85
5.54 Maha
Chaiyaphum Yasothon Amnat
Sarakham Roi Et
5.74 2.59 Charoen 1.81
4.02 6.72
Ubon
Ratchathani
Nakhon Ratchasima Si Sa Ket
Surin 7.14
17.62 Buri Ram 8.36
10.05
9.52

28
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients residing in eastern Thailand in 2017


Classified by provinces

Number Percentage (%)


Provinces
Male Female Total Male Female Total
Chachoengsao 4,870 7,926 12,796 6.07 9.89 15.96
Chanthaburi 3,413 4,740 8,153 4.26 5.91 10.17
Chon Buri 11,243 18,902 30,145 14.02 23.58 37.60
Prachin Buri 2,533 3,951 6,484 3.16 4.93 8.09
Rayong 5,254 7,217 12,471 6.55 9.00 15.55
Sa Kaeo 1,833 3,171 5,004 2.29 3.96 6.24
Trat 2,069 3,053 5,122 2.58 3.81 6.39
Total 31,215 48,960 80,175 38.93 61.07 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

29
STATISTICAL REPORT 2017

Percentage of hospital visits of out-patients residing in eastern Thailand in 2017


Classified by provinces

Prachinburi
8.09 Sa Kaeo
6.24
Chachoengsao
15.96

Chonburi
37.60
Chanthaburi
Rayong
10.17
15.55

Trat
6.39

30
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients residing in southern Thailand in 2017


Classified by provinces

Number Percentage
Provinces
Male Female Total Male Female Total
Chumphon 10,969 16,797 27,766 11.34 17.37 28.72
Krabi 1,535 2,230 3,765 1.59 2.31 3.89
Nakhon Si Thammarat 6,793 9,673 16,466 7.03 10.00 17.03
Narathiwat 710 576 1,286 0.73 0.60 1.33
Pattani 465 506 971 0.48 0.52 1.00
Phangnga 1,169 1,785 2,954 1.21 1.85 3.06
Phatthalung 935 1,413 2,348 0.97 1.46 2.43
Phuket 1,935 2,968 4,903 2.00 3.07 5.07
Ranong 2,377 3,614 5,991 2.46 3.74 6.20
Satun 224 376 600 0.23 0.39 0.62
Songkhla 1,826 2,841 4,667 1.89 2.94 4.83
Surat Thani 7,458 11,492 18,950 7.71 11.89 19.60
Trang 1,913 2,817 4,730 1.98 2.91 4.89
Yala 538 755 1,293 0.56 0.78 1.34
Total 38,847 57,843 96,690 40.18 59.82 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

31
STATISTICAL REPORT 2017

Percentage of hospital visits of out-patients residing in southern Thailand in 2017


Classified by provinces

Chumphon
28.72

Ranong
6.20

Surat Thani
19.60
Phangnga
Nakhon Si
3.06
Krabi Thammarat
3.89 17.03
Phuket
5.07 Trang Phatthalung
4.89 2.43

Satun Songkhla
Pattani 1.00
0.62 4.83
Yala Narathiwat
1.34 1.33

32
OUT-PATIENTS IN 2017

Number of hospital visits of out-patients in 2017, classified by nationality

Nationality Number of visit Percentage (%)


Thai 2,969,482 97.66
Cambodian 13,742 0.45
Chinese 12,242 0.40
Burmese 9,212 0.30
Laotian 5,346 0.18
Indian 1,737 0.06
Pakistani 909 0.03
American 813 0.03
British 748 0.02
Vietnamese 569 0.02
Filipino 506 0.02
Bangladeshi 461 0.02
German 387 0.01
French 210 0.01
Australian 198 0.01
Japanese 194 0.01
Other 2,084 0.07
Unknow 21,773 0.72
Total 3,040,613 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

33
STATISTICAL REPORT 2017

Top ten diagnoses of out-patients in 2017

ICD-10 Description Number


I10-I15 Hypertensive diseases 418,917
C00-C97 Malignant neoplasms 413,402
E70-E90 Metabolic disorders 355,412
E10-E14 Diabetes mellitus 260,762
M00-M25 Arthropathies 149,298
N17-N19 Renal failure 145,191
M40-M54 Dorsopathies 121,459
M60-M79 Soft tissue disorders 118,549
I30-I52 Other forms of heart disease 110,432
N80-N98 Noninflammatory disorders of female genital tract 94,929
Other 2608980
a-u 4797331

Top ten diagnoses of out-patients in 2017

Other, 54.38%
I10-I15, 8.73%

C00-C97, 8.62%

N80-N98, 1.98% E70-E90, 7.41%


I30-I52, 2.30%
E10-E14, 5.44%
M60-M79, 2.47%
M40-M54, 2.53% M00-M25, 3.11%
N17-N19, 3.03%

34
OUT-PATIENTS IN 2017

Top ten external causes of out-patients in 2017

ICD-10 Description Number


W00-W19 Falls 12,097
W20-W49 Exposure to inanimate mechanical forces 7,454
W50-W64 Exposure to animate mechanical forces 4,770
V20-V29 Motorcycle rider injurred in transport accident 4,536
Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use 3,868
Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in 3,627
therapeutic use
Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the 2,890
patient, or of later complication, without mention of misadventure at the time of the
procedure
X58-X59 Accidental exposure to other and unspecified factors 2,369
X85-Y09 Assault 1,817
Y85-Y89 Sequelae of external causes of morbidity and mortality 1,316
Other 6221
v-y 50965
Top ten external causes of out-patients in 2017

W20-W49
14.63% W50-W64
W00-W19 V20-V29
9.36%
23.74% 8.90%

Y70-Y82
7.59%

Other Y40-Y59
12.21% Y85-Y89 X85-Y09 Y83-Y84 7.12%
X58-X59
2.58% 3.57% 5.67%
4.65%

35
STATISTICAL REPORT 2017

Health problems of out-patients in 2017

ICD-10 Description Number


Z40-Z54 Persons encountering health services for specific procedures and health care 346,427
Z00-Z13 Persons encountering health services for examination and investigation 311,567
Z80-Z99 Persons with potential health hazards related to family and personal history and 257,055
certain conditions influencing health status
Z20-Z29 Persons with potential health hazards related to communicable diseases 132,149
Z30-Z39 Persons encountering health services in circumstances related to reproduction 75,752
Z70-Z76 Persons encountering health services in other circumstances 50,982
Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial 988
circumstances
total Z 1174920

Health problems of out-patients in 2017

Z00-Z13
26.52%
Z80-Z99
21.88%

Z40-Z54
29.49% Z20-Z29
Z55-Z65 Z30-Z39 11.25%
0.08% 6.45%
Z70-Z76
4.34%

36
IN-PATIENTS
IN 2017
.
Number of in-patients in each department in 2017, classified monthly

Month
Departmant Total
January February March April May June July August September October November December
Obstetrics - Gynecology 1,638 1,538 1,851 1,723 1,812 1,840 1,845 1,867 1,958 1,885 1,881 1,797 21,635
Surgery 1,505 1,446 1,707 1,388 1,648 1,601 1,574 1,628 1,607 1,483 1,639 1,579 18,805
Medicine 1,245 1,292 1,486 1,279 1,402 1,418 1,396 1,464 1,417 1,380 1,441 1,473 16,693
Pediatrics 613 602 641 604 651 661 662 756 734 663 677 649 7,913
Orthopaedic Surgery 403 379 425 401 423 443 433 447 423 397 418 377 4,969
Ophthalmology 325 364 447 367 377 399 307 388 407 338 376 395 4,490
Her Majesty Cardiac Center 236 298 342 266 262 323 287 323 311 263 276 258 3,445
Otorhinolaryngology 267 290 339 255 290 288 275 297 284 242 241 278 3,346
Radiology 88 74 99 74 92 99 95 94 99 73 111 91 1,089
Psychiatry 25 31 41 34 39 34 37 33 38 32 33 26 403
Rehabilitation Medicine 16 22 26 32 31 33 32 31 25 34 30 42 354
Pharmacology 0 0 2 2 0 52 60 56 41 28 28 0 269
Emergency Medicine 15 13 20 7 13 13 10 22 15 11 14 13 166
Anesthesiology 0 0 0 0 0 1 0 0 0 0 0 0 1
Total 6,376 6,349 7,426 6,432 7,040 7,205 7,013 7,406 7,359 6,829 7,165 6,978 83,578

Data source: Siriraj information technology department


Date: 14 September 2018

39
IN-PATIENTS IN 2017
40
Percentage of in-patients in each department in 2017
STATISTICAL REPORT 2017

Surgery, 22.50% Medicine, 19.97%

Pediatrics, 9.47%

Orthopaedic Surgery, 5.95%


Obstetrics - Gynecology, 25.89%
Ophthalmology, 5.37%
Anesthesiology, 0.00% Her Majesty Cardiac Center, 4.12%
Emergency Medicine, 0.20% Otorhinolaryngology, 4.00%
Pharmacology, 0.32% Radiology, 1.30%
Rehabilitation Medicine, 0.42% Psychiatry, 0.48%
IN-PATIENTS IN 2017

Number of in-patients in 2017, classified by Health insurance

Health insurance Number


Universal Coverage 36,357
Welfare commissioner 22,880
Own-paid 15,385
Social Security 4,427
Other 4,529
Total 83,578

Data source : Siriraj information technology department


Date : 14 September 2018

Percentage of in-patients in 2017, classified by Health insurance

Social Security
Own-paid Other
5.30%
18.41% 5.42%

Welfare commissioner Universal Coverage


27.38% 43.50%

41
STATISTICAL REPORT 2017

Number of in-patients in 2017, classified by age and gender

Gender
Age Total
Male Female
under 7 day 3,476 3,454 6,930
7-27 day 617 550 1,167
28 day - under 1 year 930 663 1,593
1-14 year 4,565 3,453 8,018
15-24 year 1,535 3,445 4,980
25-44 year 3,701 13,420 17,121
45-64 year 9,662 11,905 21,567
65 year and over 10,727 11,475 22,202
Total 35,213 48,365 83,578

Data source: Siriraj information technology department


Date: 14 September 2018

Percentage of in-patients in 2017, classified by age


45-64 year
25.80%
25-44 year
20.49%

65 year and over


15-24 year, 5.96% 26.56%
1-14 year, 9.59% under 7 day, 8.29%
28 day - under 1 year, 7-27 day
1.91% 1.40%

42
Number of in-patients in each department in 2017, classified by length of stay

Length of stay (days)


Department
Under 7 7-14 15-21 22 - 30 Over 30 Total
Obstetrics - Gynecology 19,795 1,667 91 43 39 21,635
Surgery 13,454 3,785 709 397 460 18,805
Medicine 10,935 3,256 1,124 609 769 16,693
Pediatrics 5,758 1,237 326 201 391 7,913
Orthopaedic Surgery 3,494 990 225 115 145 4,969
Ophthalmology 4,118 239 76 28 29 4,490
Her Majesty Cardiac Center 3,399 32 5 3 6 3,445
Otorhinolaryngology 2,960 264 68 30 24 3,346
Radiology 879 90 56 27 37 1,089
Psychiatry 209 78 43 40 33 403
Rehabilitation Medicine 8 64 132 84 66 354
Pharmacology 269 0 0 0 0 269
Emergency Medicine 106 43 13 3 1 166
Anesthesiology 1 0 0 0 0 1
Total 65,385 11,745 2,868 1,580 2,000 83,578

Data source: Siriraj information technology department


Date: 14 September 2018

43
IN-PATIENTS IN 2017
44
Percentage of in-patients in 2017 , classified by length of stay
STATISTICAL REPORT 2017

22 - 30 day
1.89%
15-21 day Over 30 day
7-14 day 3.43% 2.39%
14.05%

Under 7 day
78.23%
IN-PATIENTS IN 2017

Bed occupancy rate classified monthly in 2017

Month Bed occupancy rate


January 63.82
February 68.20
March 67.68
April 62.55
May 70.95
June 72.15
July 66.13
August 68.18
September 68.26
October 68.26
November 66.47
December 66.18
Average 67.40

Data source: Nursing department


Date: 14 September 2018

Bed occupancy rate classified monthly in 2017


Percentage
80.00
70.95 72.15
68.20 67.68 66.13 68.18 68.26 68.26 66.47 66.18
63.82 62.55
60.00

40.00

20.00
Month

45
46
Number of in-patients in each department in 2017, classified by discharge types

Discharge types
Department Total
STATISTICAL REPORT 2017

With approval Against advice Escape Transfer Others Death with autopsy Death without autopsy
Obstetrics - Gynecology 21,439 33 0 100 9 7 47 21,635
Surgery 18,129 4 1 338 30 65 238 18,805
Medicine 15,303 56 1 215 41 22 1,055 16,693
Pediatrics 7,765 16 0 56 7 11 58 7,913
Orthopaedic Surgery 4,909 0 0 34 10 1 15 4,969
Ophthalmology 4,474 5 0 4 7 0 0 4,490
Her Majesty Cardiac Center 3,378 8 0 54 1 0 4 3,445
Otorhinolaryngology 3,321 3 0 11 2 1 8 3,346
Radiology 1,049 1 0 12 1 0 26 1,089
Psychiatry 393 8 0 2 0 0 0 403
Rehabilitation Medicine 351 1 0 1 1 0 0 354
Pharmacology 268 0 0 1 0 0 0 269
Emergency Medicine 72 0 0 0 1 2 91 166
Anesthesiology 0 0 0 0 1 0 0 1
Total 80,851 135 2 828 111 109 1,542 83,578

Data source: Siriraj information technology department


Date: 14 September 2018
Percentage of in-patients in 2017, classified by discharge types

With approval, 96.74%

Death without autopsy, 1.84% Against advice, 0.16%


Death with autopsy, 0.13% Escape, 0.00%
Others, 0.13% Transfer, 0.99%

47
IN-PATIENTS IN 2017
48
Number of births and deliveries of in-patients in 2017, classified monthly
STATISTICAL REPORT 2017

Month
Types Total
January February March April May June July August September October November December
Births 587 549 681 629 680 666 702 706 751 709 703 655 8,018
- Neonate 585 547 681 627 677 665 698 702 746 705 699 653 7,985
- Stillbirth 2 2 0 2 3 1 4 4 5 4 4 2 33
Deliveries 573 540 667 616 669 655 689 687 741 696 687 642 7,862

Data source: Obstretics and Gynecology department


Date: 14 September 2018
IN-PATIENTS IN 2017

Number of in-patients in 2017, classified by regions and gender

Gender
Regions Total
Male Female
Bangkok 12,629 16,918 29,547
Central 12,423 16,584 29,007
Northeast 3,402 5,688 9,090
North 1,952 2,938 4,890
South 2,104 2,559 4,663
East 1,598 1,833 3,431
Unknow 1,105 1,845 2,950
Total 35,213 48,365 83,578

Data source: Siriraj information technology department


Date: 14 September 2018

49
STATISTICAL REPORT 2017

Percentage of in-patients in 2017, classified by regions

North
5.85%

Northeast
10.88%

Central
34.71%
East
4.11%

 Bangkok
35.35%

South
5.58%

50
IN-PATIENTS IN 2017

Number of in-patients in 2017, classifiled by nationality

Nationalities Number Percentage (%)


Thai 80,131 95.88
Burmese 948 1.13
Laotian 477 0.57
Cambodian 346 0.41
Chinese 317 0.38
Pakistani 54 0.06
Vietnamese 53 0.06
Indian 27 0.03
American 27 0.03
Filipino 25 0.03
British 23 0.03
Bangladeshi 16 0.02
Dutch 12 0.01
Ethiopian 8 0.01
Other 114 0.14
Unknow 1,000 1.20
Total 83,578 100.00

Data source: Siriraj information technology department


Date: 14 September 2018

51
STATISTICAL REPORT 2017

Top ten principal diagnoses of in-patients in 2017


Number Average
ICD-10 Description
of visits length of stay
C00-C97 Malignant neoplasms 16,963 6.18
O60-O75 Complications of labour and delivery 3,192 4.43
P50-P61 Haemorrhagic and haematological disorders of fetus and 3,116 4.06
newborn
I20-I25 Ischaemic heart diseases 2,989 3.94
O30-O48 Maternal care related to the fetus and amniotic cavity and 2,937 4.78
possible delivery problems
D10-D36 Benign neoplasms 2,787 4.73
H25-H28 Disorders of lens 2,308 1.28
I30-I52 Other forms of heart disease 1,756 6.81
K80-K87 Disorders of gallbladder, biliary tract and pancreas 1,626 5.38
P05-P08 Disorders related to length of gestation and fetal growth 1,613 12.15

Others Others 44,291

Top ten principal diagnoses of in-patients in 2017

Others, 52.99%

C00-C97, 20.30%

O60-O75, 3.82%
P05-P08, 1.93% P50-P61, 3.73%
K80-K87, 1.95%
I30-I52, 2.10% I20-I25, 3.58%
H25-H28, 2.76% O30-O48, 3.51%
D10-D36, 3.33%

52
IN-PATIENTS IN 2017

Top ten external causes of in-patients in 2017

Number
ICD-10 Description
of visits
Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use 3,465
Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, 2,723
or of later complication, without mention of misadventure at the time of the procedure
Y60-Y69 Misadventures to patients during surgical and medical care 1,683
W00-W19 Falls 931
Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere 680
Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use 581
V20-V29 Motorcycle rider injured in transport accident 480
W20-W49 Exposure to inanimate mechanical forces 399
Y85-Y89 Sequelae of external causes of morbidity and mortality 214
X58-X59 Accidental exposure to other and unspecified factors 170
Others Others 651

Top ten external causes of in-patients in 2017

Y83-Y84, 22.74%

Y40-Y59, 28.93% Y60-Y69, 14.05%

W00-W19, 7.77%
Others, 5.44% Y90-Y98, 5.68%
X58-X59, 1.42% Y70-Y82, 4.85%
Y85-Y89, 1.79% V20-V29, 4.01%
W20-W49, 3.33%

53
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Number of
ICD-9-CM Description
operations
74.1 Low cervical cesarean section 3,808
13.71 Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage 2,391
13.41 Phacoemulsification and aspiration of cataract 2,282
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy 1,680
66.32 Other bilateral ligation and division of fallopian tubes 1,677
39.61 Extracorporeal circulation auxiliary to open heart surgery 1,135
39.63 Cardioplegia 1,113
39.62 Hypothermia (systemic) incidental to open heart surgery 1,085
68.49 Other and unspecified total abdominal hysterectomy 1,039
81.54 Total knee replacement 757
Others 65,237

Top ten operations of in-patients in 2017

Others, 79.36%

74.1, 4.63%
81.54, 0.92% 13.71, 2.91%
68.49, 1.26% 13.41, 2.78%
39.62, 1.32% 00.66, 2.04%
39.63, 1.35% 66.32, 2.04%
39.61, 1.38%

54
IN-PATIENTS IN 2017

Top ten procedures of in-patients in 2017

Number of
ICD-9-CM Description
procedures
99.25 Injection or infusion of cancer chemotherapeutic substance 8,679
99.04 Transfusion of packed cells 8,465
89.52 Electrocardiogram 4,982
99.21 Injection of antibiotic 3,743
88.72 Diagnostic ultrasound of heart 3,138
89.51 Rhythm electrocardiogram 3,094
93.96 Other oxygen enrichment 2,974
93.94 Respiratory medication administered by nebulizer 2,712
87.44 Routine chest x-ray, so described 2,573
57.94 Insertion of indwelling urinary catheter 2,555
Others 107,167

Top ten procedures of in-patients in 2017

Others, 71.41%

99.25, 5.78%
57.94, 1.70% 99.04, 5.64%
87.44, 1.71% 89.52, 3.32%
93.94, 1.81%
93.96, 1.98% 99.21, 2.49%
89.51, 2.06% 88.72, 2.09%

55
STATISTICAL REPORT 2017

Top ten causes of death of in-patients in 2017

ICD-10 Description Number of visit


J18.- Pneumonia, organism unspecified 93
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 66
C34.- Malignant neoplasm of bronchus and lung 58
I21.- Acute myocardial infarction 54
J69.- Pneumonitis due to solids and liquids 54
N39.- Other disorders of urinary system 52
J15.- Bacterial pneumonia, not elsewhere classified 47
C83.- Non-follicular lymphoma 40
C79.- Secondary malignant neoplasm of other and unspecified sites 39
I63.- Cerebral infarction 35

Other 1,113
Top ten causes of death of in-patients in 2017

Other, 67.41%

J18.-, 5.63%
I63.-, 2.12%
C79.-, 2.36% C22.-, 4.00%
C83.-, 2.42% C34.-, 3.51%
J15.-, 2.85% I21.-, 3.27%
N39.-, 3.15% J69.-, 3.27%

56
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Medicine
Number Average
ICD-10 Description
of visits Length of stay
C83.- Non-follicular lymphoma 974 8.52
C78.- Secondary malignant neoplasm of respiratory and digestive organs 969 3.38
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 876 3.96
I63.- Cerebral infarction 679 9.29
C18.- Malignant neoplasm of colon 526 2.55
C34.- Malignant neoplasm of bronchus and lung 512 5.61
I21.- Acute myocardial infarction 439 8.43
I50.- Heart failure 345 12.65
N39.- Other disorders of urinary system 329 12.79
J18.- Pneumonia, organism unspecified 315 11.23

Top ten external causes of in-patients in 2017


Department of Medicine
Number
ICD-10 Description
of visits
Y43.- Primarily systemic agents 946
Y95.- Nosocomial condition 480
Y40.- Systemic antibiotics 352
Y44.- Agent primarily affecting blood constituents 322
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 229
Y71.- Cardiovascular devices associated with adverse incidents 225
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of 182
later complication, without mention of misadventure at the time of the procedure
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and 178
medical care
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 155
reaction of the patient, or of later complication, without mention of misadventure at
the time of the procedure
Y73.- Gastroenterology and urology devices associated with adverse incidents 144

57
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Medicine
Number of
ICD-9-CM Description
operations
00.40 Procedure on single vessel 300
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy 268
37.22 Left heart cardiac catheterization 261
88.56 Coronary arteriography using two catheters 255
36.07 Insertion of drug-eluting coronary artery stent(s) 208
50.24 Percutaneous ablation of liver lesion or tissue 149
00.45 Insertion of one vascular stent 139
00.24 Intravascular imaging of coronary vessels 136
45.13 Other endoscopy of small intestine 104
88.74 Diagnostic ultrasound of digestive system 99

Top ten procedures of in-patients in 2017


Department of Medicine
Number of
ICD-9-CM Description
procedures
99.25 Injection or infusion of cancer chemotherapeutic substance 5,304
99.04 Transfusion of packed cells 3,041
57.94 Insertion of indwelling urinary catheter 1,610
93.94 Respiratory medication administered by nebulizer 1,379
88.72 Diagnostic ultrasound of heart 1,367
99.05 Transfusion of platelets 1,158
96.6 Enteral infusion of concentrated nutritional substances 1,095
93.96 Other oxygen enrichment 1,089
87.03 Computerized axial tomography of head 1,086
96.04 Insertion of endotracheal tube 1,001

58
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Surgery
Number Average
ICD-10 Description
of visits Length of stay
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 855 3.83
K80.- Cholelithiasis 787 3.66
C50.- Malignant neoplasm of breast 779 4.14
K40.- Inguinal hernia 496 2.24
C61.- Malignant neoplasm of prostate 473 5.39
N40.- Hyperplasia of prostate 430 3.84
K35.- Acute appendicitis 414 3.49
I25.- Chronic ischaemic heart disease 404 9.91
N20.- Calculus of kidney and ureter 394 3.40
C18.- Malignant neoplasm of colon 351 7.91

Top ten external causes of in-patients in 2017


Department of Surgery
Number
ICD-10 Description
of visits
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 1,325
reaction of 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 866
medical care
W18.- Other fall on same level 109
Y95.- Nosocomial condition 89
Y44.- Agents primarily affecting blood constituents 81
V28.- Motorcycle rider injured in noncollision transport accident 80
W01.- Fall on same level from slipping, tripping and stumbling 69
V23.- Motorcycle rider injured in collision with car, pick-up truck or van 68
Y62.- Failure of sterile precautions during surgical and medical care 52
V22.- Motorcycle rider injured in collision with two- or three-wheeled motor vehicle 49

59
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Surgery
Number of
ICD-9-CM Description
operations
39.61 Extracorporeal circulation auxiliary to open heart surgery 852
39.62 Hypothermia (systemic) incidental to open heart surgery 851
39.63 Cardioplegia 850
40.23 Excision of axillary lymph node 643
90.79 Microscopic examination of specimen from lymph node and of lymph, other 629
microscopic examination
51.23 Laparoscopic cholecystectomy 628
59.8 Ureteral catheterization 628
57.32 Other cystoscopy 574
56.31 Ureteroscopy 479
02.05 Insertion of skull plate 465

Top ten procedures of in-patients in 2017


Department of Surgery
Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 2,487
99.07 Transfusion of other serum 1,146
38.93 Venous catheterization, not elsewhere classified 1,130
87.03 Computerized axial tomography of head 957
93.39 Other physical therapy 919
89.62 Central venous pressure monitoring 867
88.72 Diagnostic ultrasound of heart 771
88.01 Computerized axial tomography of abdomen 740
99.05 Transfusion of platelets 642
39.95 Hemodialysis 526
88.41 Arteriography of cerebral arteries 526

60
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Obstetrics and Gynecology
Number Average
ICD-10 Description
of visits Length of stay
P59.- Neonatal jaundice from other and unspecified causes 2,766 4.06
O34.- Maternal care for known or suspected abnormality of pelvic organs 1,442 4.69
O80.- Single spontaneous delivery 980 3.52
O68.- Labour and delivery complicated by fetal stress [ distress ] 977 4.38
C56.- Malignant neoplasm of ovary 867 2.94
D25.- Leiomyoma of uterus 863 3.45
O99.- Other maternal diseases classifiable elsewhere but complicating 768 3.77
pregnancy, childbirth and the puerperium
O60.- Preterm labour and delivery 760 4.40
O65.- Obstructed labour due to maternal pelvic abnormality 689 4.75
N80.- Endometriosis 653 3.17

Top ten external causes of in-patients in 2017


Department of Obstetrics and Gynecology
Number
ICD-10 Description
of visits
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and 203
medical care
Y83.- Surgical operation and other surgical procedures as the cause of abnormal reaction 59
of the patient, or of later complication, without mention of misadventure at the time of
the procedure
Y43.- Primarily systemic agents 33
Y44.- Agents primarily affecting blood constituents 15
Y62.- Failure of sterile precautions during surgical and medical care 14
Y45.- Analgesics, antipyretics and anti-inflammatory drugs 12
Y55.- Agents primarily acting on smooth and skeletal muscles and the respiratory system 7
Y40.- Systemic antibiotics 6
Y70.- Anaesthesiology devices associated with adverse incidents 6
Y76.- Obstetric and gynaecological devices associated with adverse 5

61
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Obstetrics and Gynecology
Number of
ICD-9-CM Description
operations
74.1 Low cervical cesarean section 3,804
66.32 Other bilateral ligation and division of fallopian tubes 1,675
68.49 Other and unspecified total abdominal hysterectomy 1,024
65.61 Other removal of both ovaries and tubes at same operative episode 723
54.59 Other lysis of peritoneal adhesions 508
54.4 Excision or destruction of peritoneal tissue 454
68.41 Laparoscopic total abdominal hysterectomy 416
68.29 Other excision or destruction of lesion of uterus 405
69.52 Aspiration curettage following delivery or abortion 360
66.51 Removal of both fallopian tubes at same operative episode 359

Top ten procedures of in-patients in 2017


Department of Obstetrics and Gynecology
Number of
ICD-9-CM Description
procedures
88.78 Diagnostic ultrasound of gravid uterus 2,329
25.91 Lingual frenotomy 2,134
89.06 Consultation, described as limited 1,955
99.25 Injection or infusion of cancer chemotherapeutic substance 1,715
99.23 Injection of steroid 972
99.24 Injection of other hormone 963
99.83 Other phototherapy 877
99.04 Transfusion of packed cells 718
88.76 Diagnostic ultrasound of abdomen and retroperitoneum 429
75.69 Repair of other current obstetric laceration 392

62
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


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 2,763 4.06
P07.- Disorders related to short gestation and low birth weight, not 576 5.09
elsewhere classified
Q38.- Other congenital malformations of tongue, mouth and pharynx 522 3.03
P05.- Slow fetal growth and fetal malnutrition 337 4.05
P12.- Birth injury to scalp 266 3.50
P21.- Birth asphyxia 238 4.01
P22.- Respiratory distress of newborn 234 4.10
P70.- Transitory disorders of carbohydrate metabolism specific to fetus 171 3.17
and newborn
P20.- Intrauterine hypoxia 134 2.86
P92.- Feeding problems of newborn 97 3.05

Operations of in-patients in 2017


Department of Obstetrics and Gynecology : Obstetric unit (Newborn)

Number of
ICD-9-CM Description
operations
64.0 Circumcision 1
84.01 Amputation and disarticulation of finger 1
84.02 Amputation and disarticulation of thumb 1

63
STATISTICAL REPORT 2017

Top ten procedures of in-patients in 2017


Department of Obstetrics and Gynecology : Obstetric unit (Newborn)

Number of
ICD-9-CM Description
procedures
25.91 Lingual frenotomy 2,130
89.06 Consultation, described as limited 1,032
99.83 Other phototherapy 876
93.96 Other oxygen enrichment 244
87.49 Other chest x-ray 187
93.90 Respiratory therapy 164
99.14 Injection or infusion of gamma globulin 66
89.52 Electrocardiogram 39
99.16 Injection of antidote 24
38.92 Umbilical vein catheterization 17

64
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


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 516 27.06
classified
Q21.- Congenital malformations of cardiac septa 303 6.77
J18.- Pneumonia, organism unspecified 281 5.94
J12.- Viral pneumonia, not elsewhere classified 249 7.86
C91.- Lymphoid leukaemia 243 13.67
P59.- Neonatal jaundice from other and unspecified causes 235 3.22
A09.- Other gastroenteritis and colitis of infectious and unspecified origin 223 3.07
P22.- Respiratory distress of newborn 145 5.97
A08.- Viral and other specified intestinal infections 132 3.95
Q20.- Congenital malformations of cardiac chambers and connections 130 9.48

Top ten external causes of in-patients in 2017


Department of Pediatrics
Number
ICD-10 Description
of visits
Y43.- Primarily systemic agents 220
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 82
reaction of the 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 63
Y40.- Systemic antibiotics 60
Y62.- Failure of sterile precautions during surgical and medical care 53
Y95.- Nosocomial condition 46
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of 40
later complication, without mention of misadventure at the time of the procedure
X58.- Exposure to other specified factors 31
Y44.- Agents primarily affecting blood constituents 28
Y07.- Other maltreatment 18

65
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Pediatrics
Number of
ICD-9-CM Description
operations
89.65 Measurement of systemic arterial blood gases 287
37.23 Combined right and left heart cardiac catheterization 284
89.66 Measurement of mixed venous blood gases 279
25.91 Lingual frenotomy 268
88.54 Combined right and left heart angiocardiography 246
39.61 Extracorporeal circulation auxiliary to open heart surgery 243
39.63 Cardioplegia 225
39.62 Hypothermia (systemic) incidental to open heart surgery 195
97.23 Replacement of tracheostomy tube 150
31.41 Tracheoscopy through artificial stoma 98

Top ten procedures of in-patients in 2017


Department of Pediatrics
Number of
ICD-9-CM Description
procedures
99.21 Injection of antibiotic 2,502
87.44 Routine chest x-ray, so described 2,464
89.38 Other nonoperative respiratory measurements 1,974
93.96 Other oxygen enrichment 1,583
93.94 Respiratory medication administered by nebulizer 1,315
89.52 Electrocardiogram 1,152
99.04 Transfusion of packed cells 966
99.25 Injection or infusion of cancer chemotherapeutic substance 924
90.39 Microscopic examination of specimen from ear, nose, throat, and larynx ,other 881
microscopic examination
96.6 Enteral infusion of concentrated nutritional substances 860

66
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Otorhinolaryngology
Number Average
ICD-10 Description
of visits Length of stay
J35.- Chronic diseases of tonsils and adenoids 383 2.09
J38.- Diseases of vocal cords and larynx, not elsewhere classified 197 2.30
C73.- Malignant neoplasm of thyroid gland 192 4.78
E04.- Other nontoxic goitre 171 3.07
J39.- Other diseases of upper respiratory tract 150 4.55
D14.- Benign neoplasm of middle ear and respiratory system 143 2.45
H65.- Nonsuppurative otitis media 123 1.91
C32.- Malignant neoplasm of larynx 122 6.75
J95.- Postprocedural respiratory disorders, not elsewhere classified 96 2.79
D11.- Benign neoplasm of major salivary glands 87 5.75

Top ten external causes of in-patients in 2017


Department of Otorhinolaryngology
Number
ICD-10 Description
of visits
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 215
reaction of the patient, or of later complication, without mention of misadventure at
the time of the procedure
W44.- Foreign body entering into or through eye or natural orifice 46
X58.- Exposure to other specified factors 15
Y95.- Nosocomial condition 15
Y87.- Sequelae of intentional self-harm, assault and events of undetermined intent 13
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and 12
medical care
Y40.- Systemic antibiotics 11
Y88.- Sequelae with surgical and medical care as external cause 9
Y85.- Sequelae of transport accidents 8
Y44.- Agents primarily affecting blood constituentss 5
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of 5
later complication, without mention of misadventure at the time of the procedure

67
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Otorhinolaryngology
Number of
ICD-9-CM Description
operations
31.42 Laryngoscopy and other tracheoscopy 305
97.23 Replacement of tracheostomy tube 274
28.3 Tonsillectomy with adenoidectomy 224
06.2 Unilateral thyroid lobectomy 195
00.94 Intra-operative neurophysiologic monitoring 179
22.2 Intranasal antrotomy 175
06.4 Complete thyroidectomy 162
30.09 Other excision or destruction of lesion or tissue of larynx 160
20.01 Myringotomy with insertion of tube 145
28.2 Tonsillectomy without adenoidectomy 141

Top ten procedures of in-patients in 2017


Department of Otorhinolaryngology
Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 144
96.6 Enteral infusion of concentrated nutritional substances 125
95.41 Audiometry 66
87.03 Computerized axial tomography of head 35
99.23 Injection of steroid 31
20.94 Injection of tympanum 29
97.23 Replacement of tracheostomy tube 22
88.41 Arteriography of cerebral arteries 19
99.21 Injection of antibiotic 17
99.07 Transfusion of other serum 15

68
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Ophthalmology
Number Average
ICD-10 Description
of visits Length of stay
H25.- Senile cataract 2,113 1.22
H33.- Retinal detachments and breaks 263 2.41
H40.- Glaucoma 248 2.42
H50.- Other strabismus 218 1.31
H35.- Other retinal disorders 213 1.39
H16.- Keratitis 143 15.60
H04.- Disorders of lacrimal system 125 2.08
H26.- Other cataract 116 1.91
H18.- Other disorders of cornea 98 10.11
E11.- Type 2 diabetes mellitus 91 2.00

Top ten external causes of in-patients in 2017


Department of Ophthalmology
Number
ICD-10 Description
of visits
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 138
reaction of 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 81
medical care
Y77.- Ophthalmic devices associated with adverse incidents 71
W20.- Struck by thrown, projected or falling object 48
W44.- Foreign body entering into or through eye or natural orifice 17
W54.- Bitten or struck by dog 7
W22.- Striking against or struck by other objects 6
W01.- Fall on same level from slipping, tripping and stumbling 5
V29.- Motorcycle rider injured in other and unspecified transport accidents 4
Y40.- Systemic antibiotics 4

69
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Ophthalmology
Number of
ICD-9-CM Description
operations
13.71 Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage 2,388
13.41 Phacoemulsification and aspiration of cataract 2,279
14.74 Other mechanical vitrectomy 695
14.9 Other operations on retina, choroid, and posterior chamber 473
14.75 Injection of vitreous substitute 421
14.79 Other operations on vitreous 248
14.54 Repair of retinal detachment with laser photocoagulation 224
15.3 Operations on two or more extraocular muscles involving temporary detachment 174
from globe, one or both eyes
14.24 Destruction of chorioretinal lesion by laser photocoagulation 171
12.64 Trabeculectomy ab externo 149

Top ten procedures of in-patients in 2017


Department of Ophthalmology
Number of
ICD-9-CM Description
procedures
14.54 Repair of retinal detachment with laser photocoagulation 39
99.23 Injection of steroid 38
88.91 Magnetic resonance imaging of brain and brain stem 29
88.97 Magnetic resonance imaging of other and unspecified sites 29
87.03 Computerized axial tomography of head 11
99.28 Injection or infusion of biological response modifier [BRM] as an antineoplastic 10
agent
12.12 Other iridotomy 9
99.25 Injection or infusion of cancer chemotherapeutic substance 9
12.39 Other iridoplasty 8
12.79 Other glaucoma procedures 8

70
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Orthopaedic surgery
Number Average
ICD-10 Description
of visits Length of stay
M17.- Gonarthrosis [ arthrosis of knee ] 765 5.28
S72.- Fracture of femur 286 13.59
M48.- Other spondylopathies 238 7.94
M23.- Internal derangement of knee 235 2.90
T84.- Complications of internal orthopaedic prosthetic devices, implants 206 13.52
and grafts
S82.- Fracture of lower leg, including ankle 142 7.99
C79.- Secondary malignant neoplasm of other and unspecified sites 140 14.23
M47.- Spondylosis 133 6.60
S52.- Fracture of forearm 131 3.08
M43.- Other deforming dorsopathies 112 7.43

Top ten external causes of in-patients in 2017


Department of Orthopaedic surgery
Number
ICD-10 Description
of visits
W01.- Fall on same level from slipping, tripping and stumbling 404
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 298
reaction of 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 84
medical care
X59.- Exposure to unspecified factor 82
V23.- Motorcycle rider injured in collision with car, pick-up truck or van 65
V28.- Motorcycle rider injured in noncollision transport accident 65
Y79.- Orthopaedic devices associated with adverse incidents 52
W10.- Fall on and from stairs and steps 42
X50.- Overexertion and strenuous or repetitive movements 34
Y85.- Sequelae of transport accidents 32

71
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Orthopaedic surgery
Number of
ICD-9-CM Description
operations
81.54 Total knee replacement 752
03.09 Other exploration and decompression of spinal canal 338
81.08 Lumbar and lumbosacral fusion, posterior technique 292
80.26 Arthroscopy, knee 271
77.49 Biopsy of bone, other 222
77.79 Excision of bone for graft, other 210
83.41 Excision of tendon for graft 210
80.51 Excision of intervertebral disc 209
81.45 Other repair of the cruciate ligaments 192
83.21 Biopsy of soft tissue 175

Top ten procedures of in-patients in 2017


Department of Orthopaedic surgery
Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 878
84.55 Insertion of bone void filler 826
84.51 Insertion of interbody spinal fusion device 629
81.62 Fusion or refusion of 2-3 vertebrae 439
57.94 Insertion of indwelling urinary catheter 235
84.52 Insertion of recombinant bone morphogenetic protein 158
00.31 Computer assisted surgery with CT/CTA 114
88.98 Bone mineral density studies 91
88.38 Other computerized axial tomography 88
81.63 Fusion or refusion of 4- 8 vertebrae 82

72
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Rehabilitation medicine
Number Average
ICD-10 Description
of visits Length of stay
G81.- Hemiplegia 147 19.23
G82.- Paraplegia and tetraplegia 52 20.10
I63.- Cerebral infarction 50 28.88
I61.- Intracerebral haemorrhage 13 33.38
M62.- Other disorders of muscle 12 24.58
M48.- Other spondylopathies 5 24.40
I60.- Subarachnoid haemorrhage 4 36.00
I62.- Other nontraumatic intracranial haemorrhage 4 58.75
I69.- Sequelae of cerebrovascular disease 4 29.75
M51.- Other intervertebral disc disorders 4 15.00
S22.- Fracture of rib(s), sternum and thoracic spine 4 42.00
S72.- Fracture of femur 4 27.50
T84.- Complications of internal orthopaedic prosthetic devices, implants 4 27.25
and grafts

Top ten external causes of in-patients in 2017


Department of Rehabilitation medicine
Number
ICD-10 Description
of visits
Y85.- Sequelae of transport accidents 11
Y44.- Agents primarily affecting blood constituents 7
Y89.- Sequelae of other external causes 7
W01.- Fall on same level from slipping, tripping and stumbling 6
Y95.- Nosocomial condition 6
W18.- Other fall on same level 5
Y57.- Other and unspecified drugs and medicaments 5
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of 5
later complication, without mention of misadventure at the time of the procedure
X59.- Exposure to unspecified factor 4
Y54.- Agents primarily affecting water-balance and mineral and uric acid metabolism 4

73
STATISTICAL REPORT 2017

Top five operations of in-patients in 2017


Department of Rehabilitation medicine
Number of
ICD-9-CM Description
operations
81.62 Fusion or refusion of 2-3 vertebrae 6
01.59 Other excision or destruction of lesion or tissue of brain 4
03.09 Other exploration and decompression of spinal canal 4
01.24 Other craniotomy 3
81.52 Partial hip replacement 3

Top ten procedures of in-patients in 2017


Department of Rehabilitation medicine
Number of
ICD-9-CM Description
procedures
93.22 Ambulation and gait training 319
93.12 Other active musculoskeletal exercise 290
94.49 Other counselling 282
93.81 Recreation therapy 269
93.83 Occupational therapy 227
93.34 Diathermy 226
93.11 Assisting exercise 215
93.27 Stretching of muscle or tendon 172
93.17 Other passive musculoskeletal exercise 168
93.13 Resistive exercise 160

74
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Radiology

Number Average
ICD-10 Description
of visits Length of stay
C77.- Secondary and unspecified malignant neoplasm of lymph nodes 235 3.53
C73.- Malignant neoplasm of thyroid gland 180 3.05
C79.- Secondary malignant neoplasm of other and unspecified sites 149 15.49
C11.- Malignant neoplasm of nasopharynx 133 2.89
C53.- Malignant neoplasm of cervix uteri 54 7.11
C02.- Malignant neoplasm of other and unspecified parts of tongue 35 3.80
C32.- Malignant neoplasm of larynx 30 4.20
C15.- Malignant neoplasm of oesophagus 24 7.13
C61.- Malignant neoplasm of prostate 24 5.33
C78.- Secondary malignant neoplasm of respiratory and digestive organs 23 4.35

Top five external causes of in-patients in 2017


Department of Radiology

Number
ICD-10 Description
of visits
Y95.- Nosocomial condition 9
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of 8
later complication, without mention of misadventure at the time of the procedure
W18.- Other fall on same level 3
Y46.- Antiepileptics and antiparkinsonism drugs 3
Y42.- Hormones and their synthetic substitutes and antagonists, not elsewhere classified 2
Y43.- Primarily systemic agents 2

75
STATISTICAL REPORT 2017

Top five operations of in-patients in 2017


Department of Radiology

Number of
ICD-9-CM Description
operations
92.27 Implantation or insertion of radioactive elements 35
40.11 Biopsy of lymphatic structure 8
78.59 Internal fixation of bone without fracture reduction,other 7
03.4 Excision or destruction of lesion of spinal cord or spinal meninges 6
31.29 Other permanent tracheostomy 5
77.49 Biopsy of bone , other 5
02.34 Ventricular shunt to abdominal cavity and organs 4
01.59 Other excision or destruction of lesion or tissue of brain 3
03.09 Other exploration and decompression of spinal canal 3
86.22 Excisional debridement of wound, infection, or burn 3

Top ten procedures of in-patients in 2017


Department of Radiology

Number of
ICD-9-CM Description
procedures
92.24 Teleradiotherapy using photons 566
92.18 Total body scan 434
92.28 Injection or instillation of radioisotopes 433
99.25 Injection or infusion of cancer chemotherapeutic substance 370
99.04 Transfusion of packed cells 117
57.94 Insertion of indwelling urinary catheter 76
93.39 Other physical therapy 64
96.6 Enteral infusion of concentrated nutritional substances 52
88.38 Other computerized axial tomography 47
87.03 Computerized axial tomography of head 39

76
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Psychiatry

Number Average
ICD-10 Description
of visits Length of stay
F31.- Bipolar affective disorder 89 8.82
F20.- Schizophrenia 79 16.42
F25.- Schizoaffective disorders 66 3.32
F33.- Recurrent depressive disorder 33 8.79
F32.- Depressive episode 31 14.13
F03.- Unspecified dementia 24 7.00
F06.- Other mental disorders due to brain damage and dysfunction and 13 21.23
to physical disease
F43.- Reaction to severe stress, and adjustment disorders 13 4.46
F10.- Mental and behavioural disorders due to use of alcohol 6 9.17
F01.- Vascular dementia 5 35.00

Top five external causes of in-patients in 2017


Department of Psychiatry

Number
ICD-10 Description
of visits
Y49.- Psychotropic drugs, not elsewhere classified 52
Y84.- Other medical procedures as the cause of abnormal reaction of the patient, or of 7
later complication, without mention of misadventure at the time of the procedure
X61.- Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, 6
antiparkinsonism and psychotropic drugs, not elsewhere classified
Y51.- Drugs primarily affecting the autonomic nervous system 6
X59.- Exposure to unspecified factor 5

77
STATISTICAL REPORT 2017

Operations of in-patients in 2017


Department of Psychiatry

Number of
ICD-9-CM Description
procedures
04.3 Suture of cranial and peripheral nerves 1
83.64 Other suture of tendon 1

Top ten procedures of in-patients in 2017


Department of Psychiatry

Number of
ICD-9-CM Description
procedures
94.44 Other group therapy 382
93.83 Occupational therapy 217
94.27 Other electroshock therapy 209
94.02 Administration of psychologic test 30
94.35 Crisis intervention 16
93.57 Application of other wound dressing 15
87.03 Computerized axial tomography of head 14
57.94 Insertion of indwelling urinary catheter 11
93.12 Other active musculoskeletal exercise 11
93.22 Ambulation and gait training 11

78
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Emergency Medicine

Number Average
ICD-10 Description
of visits Length of stay
J18.- Pneumonia, organism unspecified 25 5.80
N39.- Other disorders of urinary system 22 5.95
C34.- Malignant neoplasm of bronchus and lung 20 4.95
J69.- Pneumonitis due to solids and liquids 14 5.86
C22.- Malignant neoplasm of liver and intrahepatic bile ducts 10 5.10
C18.- Malignant neoplasm of colon 6 5.17
C20.- Malignant neoplasm of rectum 5 10.00
C78.- Secondary malignant neoplasm of respiratory and digestive organs 5 5.80
J44.- Other chronic obstructive pulmonary disease 5 5.40
C50.- Malignant neoplasm of breast 4 1.50

External causes of in-patients in 2017


Department of Emergency Medicine

Number
ICD-10 Description
of visits
Y95.- Nosocomial condition 10
Y43.- Primarily systemic agents 4
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 2
reaction of the patient, or of later complication, without mention of misadventure at
the time of the procedure
W18.- Other fall on same level 1
Y44.- Agents primarily affecting blood constituents 1

79
STATISTICAL REPORT 2017

Operations of in-patients in 2017


Department of Emergency Medicine

Number of
ICD-9-CM Description
operations
31.5 Local excision or destruction of lesion or tissue of trachea 1
31.99 Other operations on trachea 1

Top five procedures of in-patients in 2017


Department of Emergency Medicine

Number of
ICD-9-CM Description
procedures
99.04 Transfusion of packed cells 23
93.94 Respiratory medication administered by nebulizer 8
93.39 Other physical therapy 5
96.6 Enteral infusion of concentrated nutritional substances 5
34.04 Insertion of intercostal catheter for drainage 4

80
IN-PATIENTS IN 2017

Top ten principal diagnoses of in-patients in 2017


Department of Her Majesty Cardiac Center
Number Average
ICD-10 Description
of visits Length of stay
I25.- Chronic ischaemic heart disease 1,849 1.23
I47.- Paroxysmal tachycardia 188 1.08
I42.- Cardiomyopathy 142 1.16
I21.- Acute myocardial infarction 130 2.85
I49.- Other cardiac arrhythmias 95 1.13
I35.- Nonrheumatic aortic valve disorders 92 1.90
I48.- Atrial fibrillation and flutter 86 1.64
Q21.- Congenital malformations of cardiac septa 81 1.02
I34.- Nonrheumatic mitral valve disorders 75 1.07
I05.- Rheumatic mitral valve diseases 47 1.11

Top ten external causes of in-patients in 2017


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 132
later complication, without mention of misadventure at the time of the procedure
Y57.- Other and unspecified drugs and medicaments 25
Y71.- Cardiovascular devices associated with adverse incidents 20
Y51.- Drugs primarily affecting the autonomic nervous system 16
Y83.- Surgical operation and other surgical procedures as the cause of abnormal 16
reaction of the patient, or of later complication, without mention of misadventure
at the time of the procedure
Y52.- Agents primarily affecting the cardiovascular system 8
Y60.- Unintentional cut, puncture, perforation or haemorrhage during surgical and 8
medical care
Y44.- Agents primarily affecting blood constituents 7
Y45.- Analgesics, antipyretics and anti-inflammatory drugs 4
Y40.- Systemic antibiotics 3

81
STATISTICAL REPORT 2017

Top ten operations of in-patients in 2017


Department of Her Majesty Cardiac Center
Number of
ICD-9-CM Description
operations
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary 1,411
37.34 atherectomy
Excision or destruction of other lesion or tissue of heart, other approach 283
39.50 Angioplasty or atherectomy of other non-coronary vessel(s) 78
37.87 Replacement of any type pacemaker device with dual-chamber device 61
37.94 Implantation or replacement of automatic cardioverter/defibrillator, total system 55
[AICD]
00.51 Implantation of cardiac resynchronization defibrillator, total system [CRT-D] 29
37.98 Replacement of automatic cardioverter/defibrillator pulse generator only 24
35.52 Repair of atrial septal defect with prosthesis, closed technique 22
35.96 Percutaneous valvuloplasty 14
39.79 Other endovascular procedures on other vessels 13

Top ten procedures of in-patients in 2017


Department of Her Majesty Cardiac Center
Number of
ICD-9-CM Description
procedures
89.52 Electrocardiogram 3,209
89.51 Rhythm electrocardiogram 3,090
88.56 Coronary arteriography using two catheters 2,165
37.22 Left heart cardiac catheterization 2,025
36.07 Insertion of drug-eluting coronary artery stent(s) 1,200
00.40 Procedure on single vessel 901
00.24 Intravascular imaging of coronary vessels 879
88.77 Diagnostic ultrasound of peripheral vascular system 524
00.45 Insertion of one vascular stent 505
00.41 Procedure on two vessels 401

82
IN-PATIENTS IN 2017

Diagnoses of in-patients in 2017


Department of Pharmacology

Number Average
ICD-10 Description
of visits Length of stay
Z00.- General examination and investigation of persons without 269 1.99
complaint and reported diagnosis

Diagnoses of in-patients in 2017


Department of Anesthesiology

Number Average
ICD-10 Description
of visits Length of stay
C79.- Secondary malignant neoplasm of other and unspecified sites 1 1.00

External causes of in-patients in 2017


Department of Anesthesiology

Number
ICD-10 Description
of visits
Y12.- Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not 1
elsewhere classified, undetermined intent

83
.
TRENDS
IN 2008 - 2017
.
Trends in number of new visitor and revisitor of out-patients in 2008-2017

Number
New visitor Revisitor
500,000
455,358 458,628
443,030
450,000 428,600
416,667
400,509
400,000 384,912
359,353 370,038
344,391
350,000

300,000

250,000

200,000

150,000 137,432 124,295 116,903 119,560 115,168 111,786


108,874 107,087 102,401 99,935
100,000

50,000

0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Year

87
TRENDS IN 2008-2017
88
Trends in number of hospital visits and clinical services of out-patients in 2008-2017
STATISTICAL REPORT 2017

Number
Clinical Services Hospital Visits
4,500,000

4,000,000 3,765,644 3,778,906 3,818,676 3,837,045


3,711,490
3,586,917
3,500,000 3,290,864
3,103,482 3,185,991
2,970,119 3,008,628 3,040,613
2,943,521 2,878,575 2,933,369
3,000,000 2,799,123
2,564,662 2,588,642
2,372,001 2,493,212
2,500,000

2,000,000

1,500,000

1,000,000

500,000

0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Year
Trend in number of in-patients in 2008 - 2017
Number

100,000

90,000
84,113 83,747 82,302 82,433 82,613 83,578
80,129 80,707 81,494
80,000 76,845

70,000

60,000

50,000

40,000

30,000

20,000

10,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Year

89
TRENDS IN 2008-2017
90
Trends in number of births and deaths of in-patients in 2008-2017
STATISTICAL REPORT 2017

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 8,018
8,000

6,000

4,000
2,354 2,256 2,160 1,968 1,811 1,951 1,702 1,716
2,000 1,654 1,651

0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Year
Trends in number of Physician, Registered nurse and bed in 2008-2017

Number
Physicians Bed Registered nurse
4,000

3,500 3,414
3,130 3,183 3,183
2,986 3,040
3,000 2,886 2,950
2,719 2,816

2,500
2,203 2,203 2,218 2,242 2,247
2,111 2,110 2,110 2,099 2,139
2,000 2,182
2,036 2,063 2,082 2,061 2,061
1,956
1,751 1,814
1,500 1,693

1,000

500

0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Year

91
TRENDS IN 2008-2017
.
OTHER MEDICAL
SERVICES
IN 2017
.
OTHER MEDICAL SERVICES IN 2017

Statistics of Department of Anatomy


Number of body donor in 2017, classfied by gender, Siriraj Hospital

Number of body donor


Month Total
Male Female
January 268 448 716
February 224 417 641
March 311 554 865
April 257 482 739
May 314 680 994
June 345 656 1,001
July 271 629 900
August 381 689 1,070
September 306 612 918
October 292 682 974
November 330 704 1,034
December 260 522 782
Total 3,559 7,075 10,634

95
STATISTICAL REPORT 2017

Statistics of Department of Pediatrics


Hospital length of stay by top 10 diagnosis in 2017
Department of Pediatrics, Siriraj Hospital

Average
ICD-10 Description Number (%)*
Length of stay
A31.0 Pulmonary mycobacterial infection 2 (0.03%) 177
D73.3 Abscess of spleen 2 (0.03%) 134
A08.3 Other viral enteritis 2 (0.03%) 122
P07.0 Extremely low birth weight 44 (0.56%) 103
Q79.0 Congenital diaphragmatic hernia 4 (0.05%) 95
K91.20 Post massive bowel resection (TM) 6 (0.08%) 90
B20.7 HIV disease resulting in multiple infections 13 (0.16%) 77
Q43.8 Other specified congenital malformations of intestine 7 (0.09%) 67
Q87.3 Congenital malformation syndromes involving early overgrowth 2 (0.03%) 65
P23.0 Congenital pneumonia due to viral agent 2 (0.03%) 64
Note: * % of total discharges

Top ten causes of death in 2017


Department of Pediatrics, Siriraj Hospital

ICD-9 Description Number


C91.0 Acute lymphoblastic leukemia 5 (7.46%)
P07.1 Other low birth weight 5 (7.46%)
P83.2 Hydrops fetalis not due to haemolytic disease 3 (4.48%)
C22.2 Hepatoblastoma 2 (2.99%)
C71.7 Malignant neoplasm of brain, brain stem 2 (2.99%)
C92.0 Acute myeloid leukemia 2 (2.99%)
D61.9 Aplastic anaemia, unspecified 2 (2.99%)
G80.1 Spastic diplegic cerebral palsy 2 (2.99%)
P27.1 Bronchopulmonary dysplasia originating in the perinatal period 2 (2.99%)
Q23.4 Hypoplastic left heart syndrome 2 (2.99%)

96
OTHER MEDICAL SERVICES IN 2017

Number of hospital visit of out-patient in 2017, classified by month


Department of Pediatrics, Siriraj Hospital

Month Office Hour Special clinics Total


January 7,306 3,525 10,831
February 7,054 3,183 10,237
March 8,039 3,662 11,701
April 6,534 3,031 9,565
May 7,870 3,568 11,438
June 8,255 3,991 12,246
July 7,561 3,700 11,261
August 8,954 3,658 12,612
September 8,145 3,665 11,810
October 7,850 2,976 10,826
November 8,289 3,707 11,996
December 7,146 3,159 10,305
Total 93,003 41,825 134,828

Number of out-patient in 2017, classified by clinic


Department of Pediatrics, Siriraj Hospital

Clinic Number of patient Number of visit


General pediatric clinic 21,047 38,491
Special clinic 13,321 32,097
Breastfeeding clinic 2,224 5,930
Well child clinic 16 21
Tongue tie (special clinic) 275 435
Total 36,883 76,974

97
STATISTICAL REPORT 2017

Number of out-patient in 2017, classified by division


Department of Pediatrics, Siriraj Hospital

Division Number of patient Number of visit


Child and Adolescent Psychiatry
Psychiatry 1,607 4,826
Dermatology
Dermatology 860 1,625
Skin and rheumatology 24 50
Pulmonology
Respiratory Disease 737 1,567
Endocrinology & Metabolism
Endocrinology 1,160 2,951
Diabetes mellitus 707 1,941
Nephrology
Nephrology 948 2,324
Hemodialysis unit 9 269
One day service 346 480
Allergy & Clinical Immunology
Allergy 2,534 5,481
Allergy (special clinic) 2,916 8,456
PFT 1 1
Neurology
Neurology 1,073 2,204
Infectious Diseases
Infectious Diseases 484 1,135
HIV 414 1,307
Hematology & Oncology
Hematology 2,213 8,619
Blood transfusion (Special clinic) 94 972
Chemotherapy 216 1,761

98
OTHER MEDICAL SERVICES IN 2017

Number of out-patient in 2017, classified by division (cont.)


Department of Pediatrics, Siriraj Hospital

Division Number of patient Number of visit


Cardiology
Cardiology 2,381 3,460
Medical Genetics
Genetics 833 1,152
Genetic bone diseases 33 36
Down syndrome 155 157
Birth defects 146 156
Newborn
Newborn 579 1,098
Preterm 636 1,633
Gastroenterology and Hepatology
Gastroenterology and Liver 261 776
Rheumatology
Rheumatology 200 670
Nutrition
Nutrition 336 605
Developmental and Behavioral Pediatrics
Development 368 1,938
High risk 282 476
Development (follow-up) 631 1,104
Special needed child 54 61
Ambulatory Pediatrics
Adolescent medicine 151 322
Teenage Mothers 365 861
Continuity of care 773 1,586
Total 24,527 62,060

99
STATISTICAL REPORT 2017

Top ten diagnosis of out-patient (Office hour) in 2017


Department of Pediatrics, Siriraj Hospital

ICD-10 Description Number (%)*


J30.4 Allergic rhinitis, unspecified 4,251 (4.57%)
D56.1 Beta thalassaemia 3,177 (3.42%)
F90.0 Disturbance of activity and attention 3,151 (3.39%)
J06.9 Acute upper respiratory infection, unspecified 2,929 (3.15%)
J45.0 Predominantly allergic asthma 2,083 (2.24%)
J00 Acute nasopharyngitis 2,039 (2.19%)
F84.0 Childhood autism 2,018 (2.17%)
R62.0 Delayed milestone 1,974 (2.12%)
Q90.9 Down's syndrome, unspecified 1,776 (1.91%)
R62.8 Other lack of expected normal physiological development 1,697 (1.82%)
Note: * % of Number of visit (office Hour)

Top ten procedures of out-patient (Office hour) in 2017


Department of Pediatrics, Siriraj Hospital

ICD-9 Description Number (%)*


99.04 Transfusion of packed cells 2,254 (2.42%)
89.52 Electrocardiogram 1,485 (1.60%)
87.44 X-ray of chest NOS 1,387 (1.49%)
93.94 Respiratory medication administered by nebulizer 1,211 (1.30%)
90.59 Microscopic examination of blood, other microscopic examination 1,135 (1.22%)
99.25 Injection or infusion of cancer chemotherapeutic substance 935 (1.01%)
99.24 Injection of other hormone 829 (0.89%)
86.19 Other diagnostic procedures on skin and subcutaneous tissue 707 (0.76%)
99.12 Immunization for allergy 569 (0.61%)
99.52 Prophylactic vaccination against influenza 538 (0.58%)
Note: * % of Number of visit (office Hour)

100
OTHER MEDICAL SERVICES IN 2017

Top ten diagnosis of out-patient (Special clinic) in 2017


Department of Pediatrics, Siriraj Hospital

ICD-10 Description Number (%)*


J30.4 Allergic rhinitis, unspecified 4,481 (10.71%)
J06.9 Acute upper respiratory infection, unspecified 3,021 (7.22%)
J45.0 Predominantly allergic asthma 2,361 (5.64%)
H10.1 Acute atopic conjunctivitis 1,437 (3.44%)
L20.9 Atopic dermatitis, unspecified 1,251 (2.99%)
D56.1 Beta thalassaemia 1,183 (2.83%)
L50.8 Other urticaria 937 (2.24%)
J31.0 Chronic rhinitis 910 (2.18%)
E34.3 Short stature, not elsewhere classified 837 (2.00%)
J20.9 Acute bronchitis, unspecified 794 (1.90%)
Note: * % of Number of visit (special clinic)

Top ten procedures of out-patient (Special clinic) in 2017


Department of Pediatrics, Siriraj Hospital

ICD-9 Description Number (%)*


99.04 Transfusion of packed cells 966 (2.31%)
86.19 Other diagnostic procedures on skin and subcutaneous tissue 820 (1.96%)
90.59 Microscopic examination of blood, other microscopic examination 453 (1.08%)
99.24 Injection of other hormone 398 (0.95%)
89.52 Electrocardiogram 389 (0.93%)
93.94 Respiratory medication administered by nebulizer 169 (0.40%)
25.91 Lingual frenotomy 153 (0.37%)
89.37 Vital capacity determination 119 (0.28%)
99.21 Injection of antibiotic 110 (0.26%)
91.39 Microscopic examination of specimen from bladder, urethra, prostate, 90 (0.22%)
seminal vesicle, perivesical tissue, and of urine and semen, other
microscopic examination
Note: * % of Number of visit (special clinic)

101
STATISTICAL REPORT 2017

Statistics of Department of Psychiatry


Number of out-patients of General Psychiatry Clinic in 2017
Classified by age and gender, Siriraj Hospital

Number of patient
Month Male Female Total
< 60 year ≥ 60 year Total < 60 year ≥ 60 year Total < 60 year ≥ 60 year Total
January 610 275 885 982 581 1,563 1,592 856 2,448
February 511 224 735 754 432 1,186 1,265 656 1,921
March 654 265 919 1,014 593 1,607 1,668 858 2,526
April 568 225 793 910 490 1,400 1,478 715 2,193
May 691 259 950 1,057 583 1,640 1,748 842 2,590
June 613 262 875 1,002 546 1,548 1,615 808 2,423
July 532 190 722 891 448 1,339 1,423 638 2,061
August 690 246 936 1,011 580 1,591 1,701 826 2,527
September 581 226 807 943 460 1,403 1,524 686 2,210
October 629 235 864 974 535 1,509 1,603 770 2,373
November 655 257 912 1,030 593 1,623 1,685 850 2,535
December 618 243 861 905 486 1,391 1,523 729 2,252
Total 7,352 2,907 10,259 11,473 6,327 17,800 18,825 9,234 28,059

102
OTHER MEDICAL SERVICES IN 2017

Number of out-patients of General Psychiatry Clinic in 2017, classified by patient's type


Department of Psychiatry, Siriraj Hospital

Number of visits
Month New visitor Revistor Total
Male Female Total Male Female Total Male Female Total
January 66 95 161 937 1,647 2,584 1,003 1,742 2,745
February 51 82 133 800 1,261 2,061 851 1,343 2,194
March 58 131 189 1,004 1,764 2,768 1,062 1,895 2,957
April 51 89 140 833 1,468 2,301 884 1,557 2,441
May 80 111 191 1,028 1,834 2,862 1,108 1,945 3,053
June 118 146 264 771 1,442 2,213 889 1,588 2,477
July 77 86 163 764 1,436 2,200 841 1,522 2,363
August 90 130 220 1,003 1,718 2,721 1,093 1,848 2,941
September 106 128 234 812 1,490 2,302 918 1,618 2,536
October 57 113 170 933 1,609 2,542 990 1,722 2,712
November 106 119 225 933 1,712 2,645 1,039 1,831 2,870
December 60 97 157 886 1,477 2,363 946 1,574 2,520
Total 920 1,327 2,247 10,704 18,858 29,562 11,624 20,185 31,809

103
STATISTICAL REPORT 2017

Top five diagnoses of out-patients of General Psychiatry Unit in 2017


Department of Psychiatry, Siriraj Hospital

ICD10 Description Number of visits


F30-F39 Mood (affective) disorders 6,524
F20-F29 Schizophrenia, Schizotypal and delusional disorders 2,772
F40-F48 Neurotic, stress-related and somatoform disorders 2,430
F00-F09 Organic, including symptomatic,mental disorders 1,333
F10-F19 Mental and behavioural disorders due to phychoactive substance use 642

Top five diagnoses of new patients of General Psychiatry Unit in 2017


Department of Psychiatry, Siriraj Hospital

ICD10 Description Number of visits


F30-F39 Mood (affective) disorder 759
F40-F48 Neurotic, stress-related and somatoform disorders 380
F00-F09 Organic, including symptomatic,mental disorders 193
Z00-Z13 Persons encountering health services for examination and investigation 167
F20-F29 Schizophrenia, Schizotypal and delusional disorders 145

104
Number of out-patients of General Psychiatry Unit in 2017, classified by clinic
Department of Psychiatry, Siriraj Hospital

Number of services
General psychiatry OPD Consultation Geriatric psychiatry Relaxation Psychological test
Month
Clinic Clinic Clinic Clinic
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total
January 646 1,049 1,695 0 0 0 252 550 802 12 43 55 10 7 17
February 529 775 1,304 0 0 0 220 431 651 14 30 44 8 7 15
March 690 1,153 1,843 0 0 0 252 567 819 21 42 63 4 15 19
April 563 923 1,486 0 0 0 237 514 751 23 38 61 2 6 8
May 667 1,058 1,725 0 0 0 268 600 868 13 41 54 7 10 17
June 574 974 1,548 0 0 0 285 587 872 12 38 50 13 11 24
July 518 867 1,385 0 0 0 205 467 672 11 49 60 7 12 19
August 689 1,013 1,702 6 4 10 249 606 855 14 54 68 3 11 14
September 551 928 1,479 1 5 6 220 459 679 12 49 61 7 8 15
October 597 955 1,552 3 9 12 237 556 793 9 36 45 13 11 24
November 640 989 1,629 7 7 14 249 595 844 9 46 55 7 14 21
December 571 891 1,462 7 16 23 244 485 729 7 50 57 6 10 16
Total 7,235 11,575 18,810 24 41 65 2,918 6,417 9,335 157 516 673 87 122 209

105
OTHER MEDICAL SERVICES IN 2017
106
Number of out-patients of General Psychiatry Unit in 2017, classified by clinic (cont.)
Department of Psychiatry, Siriraj Hospital

Number of services
STATISTICAL REPORT 2017

Long - Term Treatment Social Worker Counseling Mood Matrix Student counseling Total
Month
Clinic Clinic Clinic Clinic Clinic
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total
January 1 1 2 0 0 0 28 53 81 0 0 0 51 52 103 1,000 1,755 2,755
February 14 20 34 0 0 0 16 31 47 0 0 0 50 49 99 851 1,343 2,194
March 16 21 37 0 0 0 15 62 77 1 0 1 68 54 122 1,067 1,914 2,981
April 12 17 29 0 0 0 9 33 42 0 0 0 45 38 83 891 1,569 2,460
May 27 20 47 0 0 0 16 52 68 0 0 0 50 69 119 1,048 1,850 2,898
June 44 28 72 0 0 0 11 50 61 0 0 0 68 46 114 1,007 1,734 2,741
July 35 37 72 0 0 0 18 64 82 0 1 1 49 46 95 843 1,543 2,386
August 56 53 109 0 0 0 19 73 92 0 0 0 61 50 111 1,097 1,864 2,961
September 41 53 94 0 0 0 23 64 87 0 0 0 63 52 115 918 1,618 2,536
October 61 52 113 0 0 0 23 59 82 0 0 0 51 54 105 994 1,732 2,726
November 55 63 118 0 9 9 24 70 94 1 0 1 49 52 101 1,041 1,845 2,886
December 57 52 109 0 9 9 19 59 78 2 0 2 38 26 64 951 1,598 2,549
Total 419 417 836 0 18 18 221 670 891 4 1 5 643 588 1,231 11,708 20,365 32,073
OTHER MEDICAL SERVICES IN 2017

Number of out-patients in 2017, classified by gender


Psychiatric Rehabilitation and Community Unit, Department of Psychiatry, Siriraj Hospital

Number of visit
Month Total
Male Female
January 191 117 308
February 182 137 319
March 290 195 485
April 173 114 287
May 260 191 451
June 213 182 395
July 259 173 432
August 292 175 467
September 264 177 441
October 250 158 408
November 250 195 445
December 261 176 437
Total 2,885 1,990 4,875

Top five diagnoses of Psychiatric Rehabilitation and Community Unit in 2017


Department of Psychiatry, Siriraj Hospital

ICD10 Description Number of visits


F20 Schizophrenia 1,738
F79 Unspecified mental retardation 752
F32 Depressive episode 588
F31 Bipolar affective disorder 448
F84 Pervasive developmental disorders 390

107
STATISTICAL REPORT 2017

Number of out-patients in 2017, classified by patient's type


Psychiatric Rehabilitation and Community Unit, Department of Psychiatry, Siriraj Hospital

Number of patient
Trancranial Magnetic Nicotine Rehabilitation Alcoholic Rehabilitation
Month Total
Stimulation Patients Patients Patients
Male Female Total Male Female Total Male Female Total
January 0 0 0 21 1 22 9 1 10 32
February 0 0 0 22 2 24 5 0 5 29
March 0 0 0 30 2 32 20 0 20 52
April 0 0 0 17 1 18 7 1 8 26
May 0 0 0 11 1 12 4 0 4 16
June 0 0 0 29 2 31 9 0 9 40
July 0 0 0 16 1 17 12 1 13 30
August 7 6 13 31 2 33 4 0 4 50
September 3 0 3 28 3 31 7 1 8 42
October 5 0 5 12 4 16 7 1 8 29
November 0 7 7 29 3 32 5 0 5 44
December 0 16 16 24 3 27 4 1 5 48
Total 15 29 44 270 25 295 93 6 99 438

Top five diagnoses of new patients in 2017


Division of Child and Adolescent Psychiatry, Department of Psychiatry, Siriraj Hospital

ICD10 Description Number of visits


F90 Hyperkinetic Disorders 233
Z62 Other problems related to upbringing 88
Z03 Medical observation and evaluation for suspected 86
diseases and conditions
F81 Specific developmental disorders of scholastic skills 78
F32 Depressive episode 51

108
Statistics of Department of Microbiology
Number of specimen receiving and registering services in 2017
Central Laboratory and Siriraj Microbiology Excellence Center, Siriraj Hospital

Number of services
Customers Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Siriraj hospital 26,332 25,127 30,206 24,241 28,915 29,323 27,910 30,438 25,282 26,397 27,360 26,616 328,147
Other hospitals 41 33 57 37 51 942 870 905 753 891 930 816 6,326
Total 26,373 25,160 30,263 24,278 28,966 30,265 28,780 31,343 26,035 27,288 28,290 27,432 334,473

109
OTHER MEDICAL SERVICES IN 2017
110
Number of services: Bacteriology Laboratory in 2017
Department of Microbiology, Siriraj Hospital

Number of Test
STATISTICAL REPORT 2017

Test item Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Culture, identification (aerobe) & susceptibility test 10,277 9,591 10,677 9,596 10,764 11,128 11,020 12,033 11,307 11,069 10,641 10,697 128,800
2. Culture, identification (anaerobe) 66 66 82 43 79 72 67 83 14 71 74 80 797
3. Culture from colony/positive media susceptibility test 0 0 0 0 0 0 1 1 0 1 1 2 6
4. Culture from colony/positive media, identification 0 0 0 0 0 1 1 1 0 4 1 0 8
5. Clostidium difficile: toxin gene 222 217 270 249 289 256 205 270 88 259 246 273 2,844
6. Legionella pneumophila: antigen in urine 7 1 5 2 1 6 4 9 1 2 1 0 39
7. Neisseria meningitidis group A: antigen in CSF 3 7 6 1 5 6 1 7 0 12 5 5 58
8. Neisseria meningitidis group B/ 3 7 3 1 6 6 1 7 2 12 5 5 58
Escherichia coli K1: antigen in CSF
9. Neisseria meningitidis group C: antigen in CSF 3 7 3 1 5 6 1 7 2 12 5 5 57
10. Neisseria meningitidis group Y/W135: antigen in CSF 3 7 3 1 5 4 1 7 2 12 4 5 54
11. Streptococcus agalactiae: antigen in CSF 3 5 3 1 7 7 1 8 3 12 5 5 60
12. Streptococcus pneumoniae: antigen in CSF 3 7 3 1 7 8 1 8 3 12 5 5 63
13. Gram staining* 26 29 50 20 30 24 40 35 0 30 20 34 338
14. Modified acid fast staining* 120 106 169 101 91 101 125 146 10 103 99 117 1,288
Total 10,736 10,050 11,274 10,017 11,289 11,625 11,469 12,622 11,432 11,611 11,112 11,233 134,470

Note: only that not included in bacterial culture


Number of services: Mycobacteriology & Mycology Laboratory in 2017
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 235 168 232 134 175 166 234 209 29 203 216 190 2,191
2. Mycobacteria: PROFILE 1* 385 377 477 382 438 567 587 573 544 516 614 484 5,944
3. Mycobacteria: PROFILE 2* 712 652 807 650 731 855 878 926 682 835 911 778 9,417
4. Mycobacteria: PROFILE 3* 31 36 32 26 31 46 24 50 22 33 26 34 391
5. Mycobacteria: molecular identification & automate susceptibility 0 0 0 0 0 0 0 2 0 0 0 0 2
test (from colony or positive media)
6. Mycobacteria: molecular identification & conventional 0 0 0 0 0 2 5 1 1 3 4 3 19
susceptibility test (from colony or positive media)
7. Susceptibility for Mycobacterium tuberculosis ** 0 0 0 0 0 0 0 1 0 0 0 1 2
8. Susceptibility for rapid growing non-tuberculous mycobacteria** 6 6 5 3 5 3 9 2 10 5 9 8 71
9. Susceptibility for slow growing non-tuberculous mycobacteria** 2 2 2 0 1 2 3 1 4 1 5 2 25
10. Direct examination for fungi: Gram stain 0 0 1 6 3 3 2 2 2 0 1 1 21
11. Direct examination for fungi: India ink preparation 5 5 3 10 5 14 7 7 3 2 7 10 78
12. Direct examination for fungi: KOH preparation 74 79 96 64 114 69 118 112 2 90 80 70 968
13. Fungal culture and identification 705 698 753 624 789 982 908 1,059 605 996 1,096 1,082 10,297
14. Susceptibility test for fungi 20 10 8 12 11 5 10 30 15 19 13 19 172
15. Aspergillus: galactomannan antigen detection 76 77 130 98 123 111 107 155 7 116 137 117 1,254
16. Cryptococcus: antigen and titer 34 14 28 25 31 35 29 25 3 24 26 34 308
17. Cryptococcus: antigen 34 33 26 34 30 37 26 33 7 13 26 25 324
18. Fungal molecular identification 4 7 10 2 5 6 1 6 5 7 8 2 63
19. Pythium insidiosum: antibody 1 0 2 0 0 0 0 0 0 0 0 0 3
Total 2,324 2,164 2,612 2,070 2,492 2,903 2,948 3,194 1,941 2,863 3,179 2,860 31,550
Note: * 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.
** Additional tests that can be requested separately from PROFILES 1, 2 and 3

111
OTHER MEDICAL SERVICES IN 2017
112
Number of services: Virology Laboratory in 2017
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 2017

1. Adenovirus: antigen 0 0 0 0 0 0 1 0 0 1 2 0 4
2. Chlamydia trachomatis : antigen 0 0 0 0 0 0 1 0 0 0 0 0 1
3. Chlamydia trachomatis : isolation 3 1 0 2 1 0 0 4 1 1 2 0 15
4. Cytomegalovirus: antigen 9 1 8 4 2 12 2 9 6 5 8 3 69
5. Cytomegalovirus: isolation 11 6 26 21 29 35 34 32 19 25 36 40 314
6. Epstein-Barr virus: antibody IgA 4 0 2 1 0 1 2 4 0 1 1 1 17
7. Epstein-Barr virus: antibody IgG 35 36 48 34 41 43 37 27 1 34 43 37 416
8. Enterovirus 71: antigen 1 3 2 2 1 0 0 0 0 1 1 1 12
9. Enterovirus: antigen 3 5 3 3 1 0 1 1 0 2 1 1 21
10. Herpes simplex virus (HSV): antigen 76 76 89 66 77 88 73 85 20 67 62 68 847
11. Herpes simplex virus (HSV): Giemsa stain 39 35 46 33 46 50 40 53 4 31 45 27 449
12. Herpes simplex virus (HSV): isolation 4 1 1 2 5 9 1 0 5 2 5 5 40
13. Influenza A virus: antigen 6 11 5 9 8 2 16 15 8 20 17 10 127
14. Influenza A and B virus: antigen (rapid test) 92 104 114 85 95 129 166 445 0 386 250 194 2,060
15. Influenza B virus: antigen 5 11 3 9 7 1 16 13 29 20 17 10 141
16. Measles virus: antigen 1 7 15 2 3 1 1 3 0 3 1 1 38
17. Rotavirus: antigen 77 86 126 104 76 100 75 95 0 95 65 109 1,008
18. Respiratory syncytial virus (RSV): antigen 24 14 17 20 20 11 12 37 30 78 72 40 375
19. Respiratory viruses: antigen PROFILE* 55 77 96 74 85 114 92 180 5 135 88 88 1,089
20. Varicella zoster virus (VZV): antigen 26 28 31 21 24 30 28 33 15 24 21 26 307
21. Varicella zoster virus (VZV): Giemsa stain 4 5 2 1 1 2 5 3 0 3 2 3 31
22. Zika virus: isolation 0 0 0 0 0 0 0 1 0 1 0 0 2
Total 475 507 634 493 522 628 603 1,040 143 935 739 664 7,383
Note. *Include of influenza A & B viruses, Parainfluenza 1-3 viruses, RSV, Adenovirus
Number of services: Serology Laboratory in 2017
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 39 39 42 36 64 32 49 35 42 60 50 46 534
2. Cytomegalovirus (CMV): antibody IgM 16 14 8 10 20 8 16 3 11 24 11 17 158
3. Dengue virus: antibody IgG & IgM 38 41 38 44 37 76 80 136 95 90 89 84 848
4. Dengue virus: NS1 antigen 45 51 33 41 44 88 66 148 120 80 83 72 871
5. Epstein-Barr virus (EBV): antibody IgM 28 29 23 26 22 35 20 24 20 25 26 23 301
6. Hepatitis A virus (HAV): antibody IgG 121 82 102 120 106 131 120 107 134 108 118 89 1,338
7. Hepatitis A virus (HAV): antibody IgM 72 46 59 60 50 55 65 52 42 49 45 50 645
8. Hepatitis B virus (HBV): anti-HBc antibody 176 174 477 153 225 186 194 253 203 182 201 178 2,602
9. Hepatitis B virus (HBV): anti-HBc antibody IgM 45 24 38 30 27 38 39 33 32 14 25 28 373
10. Hepatitis B virus (HBV): anti-HBe antibody 48 46 43 37 52 39 38 37 43 42 56 40 521
11. Hepatitis B virus (HBV): anti-HBs antibody 929 894 1,335 888 1,193 1,210 1,051 1,232 1,023 1,045 988 1,034 12,822
12. Hepatitis B virus (HBV): antigen HBe 121 133 147 106 143 132 128 131 133 118 127 118 1,537
13. Hepatitis B virus (HBV): antigen HBs 3,149 2,989 3,778 2,751 3,687 3,747 3,406 3,415 3,131 2,755 3,101 3,001 38,910
14. Hepatitis B virus (HBV): antigen HBs quantitative 135 133 108 108 133 109 107 116 96 92 107 104 1,348
15. Hepatitis C virus (HCV): anti-HCV antibody 1,697 1,677 1,928 1,517 1,893 1,858 1,864 1,883 1,860 1,584 1,766 1,599 21,126
16. Hepatitis D virus (HDV): anti-HDV antibody 0 0 1 0 0 2 4 2 2 3 1 2 17
17. Hepatitis E virus (HEV): antibody IgG 26 18 28 30 20 30 27 17 24 31 19 27 297
18. Hepatitis E virus (HEV): antibody IgM 37 26 35 38 27 41 34 22 29 35 25 32 381
19. Herpes simplex virus (HSV): antibody IgG 32 29 26 33 41 30 38 17 27 37 28 24 362
20. Herpes simplex virus (HSV): antibody IgM 12 11 7 11 11 12 12 11 8 12 14 5 126

113
OTHER MEDICAL SERVICES IN 2017
114
Number of services: Serology Laboratory in 2017 (cont.)
Department of Microbiology, Siriraj Hospital
Number of Test
Test item Total
STATISTICAL REPORT 2017

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
21. Human immuno-deficiency virus 1 (HIV-1): anti-HIV (ELISA) 3,840 3,658 4,235 3,407 4,303 4,102 3,836 3,988 3,836 3,439 3,814 3,430 45,888
22. Human immuno-deficiency virus 1 (HIV-1): anti-HIV (rapid) 190 200 174 202 192 225 188 192 202 210 212 242 2,429
23. Human immuno-deficiency virus 1 (HIV-1): antigen p24 7 8 16 9 11 9 17 8 7 1 1 3 97
24. Measles virus: antibody IgG 14 14 48 29 14 15 26 28 14 13 21 22 258
25. Measles virus: antibody IgM 12 17 30 13 12 10 10 20 19 5 15 17 180
26. Mumps virus: antibody IgG 9 5 9 17 8 10 11 7 6 8 14 13 117
27. Mumps virus: antibody IgM 2 3 3 1 1 7 3 3 3 3 4 6 39
28. Mycoplasma pneumoniae : antibody 30 30 33 34 20 40 26 33 31 33 18 15 343
29. Rubella virus: antibody IgG 36 50 45 40 59 47 50 55 32 31 52 45 542
30. Rubella virus: antibody IgM 8 13 12 6 6 8 12 16 17 5 11 13 127
31. TORCH: antibody IgG PROFILE* 7 8 31 12 18 31 37 24 24 23 27 37 279
32. TORCH: antibody IgM PROFILE* 9 10 32 12 19 32 36 24 25 23 27 36 285
33. Toxoplasma : antibody IgG 16 11 8 10 8 6 8 14 7 8 14 12 122
34. Toxoplasma : antibody IgM 11 11 8 6 1 3 5 10 4 7 10 10 86
35. Varicella zoster virus (VZV): antibody IgG 39 47 332 143 141 238 44 172 110 50 60 248 1,624
36. Varicella zoster virus (VZV): antibody IgM 13 8 5 4 7 2 3 9 7 5 4 9 76
37. Zika virus Antibody IgG 0 0 0 0 0 0 0 15 19 19 18 18 89
38 Zika virus Antibody IgM 0 0 0 0 0 0 0 18 20 19 18 20 95
Total 11,009 10,549 13,277 9,984 12,615 12,644 11,670 12,310 11,458 10,288 11,220 10,769 137,793
Note: * Include of Toxoplasma, Rubella virus, Cytomegalovirus, Herpes simplex virus
Number of services: Molecular Microbiology Laboratory in 2017
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 0 2 1 1 0 1 1 0 1 0 1 0 8
2. Adenovirus: viral load 12 6 7 3 2 4 0 3 0 11 7 3 58
3. BK virus: DNA detection 1 0 0 0 0 1 4 0 1 0 1 1 9
4. BK virus: viral load 186 137 203 151 181 148 161 177 15 202 169 142 1,872
5. Chikungunya virus: RNA detection 0 0 0 0 1 1 0 0 0 1 0 1 4
6. Chlamydia trachomatis : DNA detection 13 15 26 10 13 25 12 19 0 8 17 21 179
7. Chlamydophila pneumoniae : DNA detection 0 0 0 1 0 0 0 0 0 0 0 0 1
8. Coxsackie virus: viral load 0 0 1 0 0 2 0 0 0 0 0 1 4
9. Cytomegalovirus (CMV): DNA detection 23 22 17 16 27 27 6 16 7 19 26 15 221
10. Cytomegalovirus (CMV): viral load 82 71 97 80 91 87 120 137 0 140 121 116 1,142
11. Dengue virus: RNA detection 3 2 1 2 2 6 7 10 0 2 0 3 38
12. Enterovirus 71: RNA detection 4 9 3 3 3 11 4 9 3 2 7 7 65
13. Enterovirus: RNA detection 4 16 15 6 9 17 18 17 0 5 8 7 122
14. Epstein-Barr virus (EBV): DNA detection 14 19 13 14 16 15 2 16 7 10 18 8 152
15. Epstein-Barr virus (EBV): viral load 1 7 7 1 3 6 9 9 1 6 8 7 65
16. Enterohemorrhagic E. coli (EHEC): DNA detection 0 0 0 0 0 0 0 0 0 0 0 0 0
17. Gastroenteritis DNA/RNA detection panel 0 0 0 0 0 0 0 0 0 1 2 2 5
18. Herpes simplex virus (HSV): DNA detection 34 34 24 28 27 37 16 31 13 24 35 31 334
19. Human herpes virus 6 (HHV-6): DNA detection 2 5 1 0 1 1 0 2 1 0 2 2 17
20. Human immunodeficiency virus 1 (HIV-1): drug resistant genotype 3 10 13 7 7 12 1 7 5 10 8 4 87

115
OTHER MEDICAL SERVICES IN 2017
116
Number of services: Molecular Microbiology Laboratory in 2017 (cont.)
Department of Microbiology, Siriraj Hospital

Number of Test
STATISTICAL REPORT 2017

Test item Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
21. Human immunodeficiency virus 1 (HIV-1): RNA/DNA detection 8 4 8 9 10 8 12 7 4 24 11 13 118
22. Human immunodeficiency virus 1 (HIV-1): viral load 428 421 604 399 536 389 375 390 0 384 345 369 4,640
23. Human immunodeficiency virus 2 (HIV-2): RNA detection 0 0 2 0 0 0 0 1 0 0 0 0 3
24. Human metapneumovirus: RNA detection 0 4 1 0 0 0 0 0 0 1 0 0 6
25. Human papilloma virus (HPV): DNA detection 18 24 27 27 16 18 21 29 2 31 20 16 249
26. Human papilloma virus (HPV): genotype 11 11 24 19 34 19 23 10 1 27 30 14 223
27. Influenza A virus (H1, H3, pandemic 2009) /Influenza B/RSV: 91 95 77 97 83 85 110 227 133 209 154 135 1,496
RNA detection
28. Influenza A virus H3: drug resistant genotype (Oseltamivir) 0 0 0 0 0 0 0 0 0 1 0 0 1
29. Influenza A virus: RNA detection 1 3 0 8 8 3 5 14 12 11 6 7 78
30. Influenza B virus: RNA detection 1 3 0 7 8 3 4 12 13 10 6 6 73
31. Japanese encephalitis virus (JEV): RNA detection 0 2 0 1 2 3 1 2 0 1 4 1 17
32. JC virus: DNA detection 0 1 2 1 4 0 1 1 1 1 3 3 18
33. JC virus and BK virus: DNA detection 1 0 0 0 0 0 0 0 0 0 0 0 1
34. JC virus: viral load 4 1 0 0 0 2 1 2 0 1 1 2 14
35. Legionella pneumophila : DNA detection 0 0 0 1 0 0 1 0 0 0 0 0 2
36. Leptospira : DNA detetion 0 1 1 0 0 1 1 1 0 1 1 0 7
37. Measles virus: RNA detection 0 0 0 0 0 0 0 0 0 0 0 0 0
38. Mycobacteria: direct PCR for M. tuberculosis (no culture) 7 9 12 12 8 26 28 31 4 25 25 13 200
Number of services: Molecular Microbiology Laboratory in 2017 (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 /non-tuberculous 2 1 0 0 0 1 1 3 0 2 2 1 13
mycobacteria (NTM) (no culture)
40. Mycobacteria: direct PCR for M. tuberculosis rifampicin 2 2 2 1 2 0 5 4 0 3 4 1 26
41. resistance
Mycoplasma pneumoniae : quantitative DNA detection 0 0 0 2 0 0 0 2 0 0 1 0 5
42. Neisseria gonorrhoeae : DNA detection 13 15 22 6 13 23 12 21 9 8 15 19 176
43. Meningitis DNA/RNA detection panel 0 0 0 0 0 0 0 0 0 1 2 4 7
44. Mump: RNA detection 0 1 0 0 0 0 0 0 0 0 0 0 1
45. Mump: viral load 0 0 0 0 0 0 0 0 0 0 1 0 1
46. Parvovirus B19: DNA detection 8 6 9 7 3 7 10 3 0 7 3 4 67
47. Parvovirus B19: viral load 0 0 0 0 2 4 1 2 1 1 1 1 13
48. Rabies virus: RNA detection 0 0 0 0 0 0 0 0 0 0 0 0 0
49. Respiratory pathogens: RNA/DNA detection 39 34 60 50 39 55 53 70 11 84 74 39 608
50. Rickettsia spp. : DNA detection 0 2 3 0 2 3 0 1 0 1 1 0 13
51. Rotavirus: RNA detection 0 0 0 0 0 0 0 0 0 0 0 0 0
52. Rubella virus: RNA detection 1 2 0 0 1 1 0 3 2 5 8 2 25
53. Varicella zoster virus (VZV): DNA detection 20 20 18 17 19 21 11 20 15 17 26 18 222
54. Viruses: molecular epidemiology 30 25 73 39 15 52 81 6 0 4 0 3 328
55. Zika virus: RNA detection 0 0 0 0 0 0 0 29 13 41 35 51 169
Total 1,067 1,042 1,374 1,026 1,188 1,125 1,118 1,344 275 1,342 1,209 1,093 13,203

117
OTHER MEDICAL SERVICES IN 2017
118
Number of services: Environmental Microbiology Laboratory in 2017
Department of Microbiology, Siriraj Hospital

Number of Test
STATISTICAL REPORT 2017

Test item Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Air examination: total aerobic microbial count 0 39 53 0 9 80 6 0 6 0 0 0 193
2. Air examination: total fungal count 0 39 63 0 9 80 6 0 0 0 0 0 197
3. Bacteria: endotoxin test 0 2 1 0 0 0 4 7 0 0 1 0 15
4. Bacteria: molecular epidemiology 0 0 0 0 0 2 0 0 0 0 0 0 2
5. Bacteria: molecular identification 35 31 27 23 26 43 57 36 40 39 28 29 414
6. Bacteria: sterility test 366 370 428 319 389 603 437 432 422 73 509 331 4,679
7. Bacteria: sterility test (additional filtration) 14 13 16 17 16 13 12 13 14 0 14 14 156
8. Food examination: Bacillus cereus detection 8 2 25 7 15 24 15 17 7 2 5 27 154
9. Food examination: Clostridium perfringens detection 0 0 4 0 2 6 4 4 2 2 0 2 26
10. Food examination: coliform count 7 0 19 5 7 14 9 9 0 2 5 10 87
11. Food examination: Escherichia coli count 7 0 15 5 5 15 7 7 5 2 5 11 84
12. Food examination: Salmonella spp . detection 7 0 19 5 7 17 9 9 7 2 5 13 100
13. Food examination: Staphylococcus aureus detection 10 2 27 9 15 24 15 17 7 2 5 27 160
14. Food examination: total aerobic microbial count 9 2 27 9 19 29 15 20 7 2 5 39 183
15. Food examination: Vibrio cholerae detection 0 0 0 0 0 4 2 2 0 2 0 0 10
16. Herb examination: Clostridium spp . detection 17 24 17 18 20 28 23 11 18 9 12 21 218
17. Herb examination: Escherichia coli detection 17 23 15 18 20 28 22 11 18 9 12 21 214
18. Herb examination: Pseudomonas aeruginosa 11 11 12 10 20 5 22 9 15 1 16 2 134
Number of services: Environmental Microbiology Laboratory in 2017 (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: Salmonella spp. detection 11 12 13 10 20 5 23 9 15 1 16 2 137
20. Herb examination: Staphylococcus aureus detection 17 24 16 18 20 28 23 11 18 9 12 21 217
21. Herb examination: total aerobic microbial count 28 34 27 28 40 33 44 20 33 10 28 23 348
22. Herb examination: total fungal count 28 34 42 28 40 33 44 20 0 10 28 23 330
23. Herb examination: Enterobacteria count 14 19 12 10 16 20 18 9 16 9 10 20 173
24. Water examination: coliform count 38 32 52 37 37 52 37 42 5 12 26 41 411
25. Water examination: Escherichia coli count 38 32 51 37 37 52 37 42 51 12 26 41 456
26. Water examination: endotoxin test 13 11 35 13 9 24 15 9 0 9 8 24 170
27. Water examination: specific pathogen detection 3 1 3 3 1 7 5 5 5 0 5 7 45
28. Water examination: total aerobic microbial count 64 91 73 59 61 71 61 62 75 30 50 64 761
Total 762 848 1,092 688 860 1,340 972 833 786 249 831 813 10,074

119
OTHER MEDICAL SERVICES IN 2017
STATISTICAL REPORT 2017

Statistics of Department of Dermatology


Number of patient services in 2017, classified by clinic, Siriraj Hospital

Number of visits
Services Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Patient's skin 7,615 7,061 8,870 6,496 7,797 6,933 6,657 7,841 7,084 7,054 7,508 6,739 87,655
General patient's skin 3,756 3,823 4,352 3,654 4,364 4,268 3,884 4,427 4,007 3,941 4,076 3,869 48,421
Contact dermatitis clinic 108 94 141 77 131 158 74 132 147 79 154 119 1,414
Clinic 407 93 89 89 72 111 101 121 115 88 111 103 70 1,163
Skin Biopsy Report Clinic 90 78 111 66 105 76 72 104 80 90 69 63 1,004
Hansen's clinic 11 7 10 6 8 8 9 10 7 8 10 10 104
Autoimmune clinic 90 78 111 66 105 76 72 104 80 90 69 63 1,004
Granuloma clinic 12 12 16 10 10 14 19 19 12 10 7 12 153
Phototherapy clinic 674 650 778 618 725 807 672 736 751 748 757 579 8,495
Skin allergy clinic 82 81 102 82 117 99 98 115 105 86 141 85 1,193
Melasma clinic 76 47 73 35 90 41 67 59 43 61 48 57 697
Hair clinic 150 112 133 72 196 134 182 138 141 157 162 123 1,700
Mohs Micrographic Surgery 9 11 11 3 7 10 12 8 13 9 18 20 131
Skin laser center 364 401 374 302 326 458 331 289 359 292 261 256 4,013
Vitiligo clinic 6 9 18 14 13 18 10 20 29 8 19 18 182
Hair transplantation clinic 2 4 2 4 4 5 4 5 3 4 7 5 49
Nail procedure clinic 27 24 29 26 32 17 28 42 34 32 36 22 349
Onychomycosis and nail clinic 19 25 23 12 9 21 20 18 19 13 25 15 219
Psoriasis clinic 99 123 135 116 130 119 102 126 73 96 137 104 1,360
Birthmark clinic 5 3 8 4 6 4 8 0 5 5 6 8 62
Birthmark laser clinic 7 10 11 5 5 11 7 10 8- 12 13 99
Aesthetic clinic 14 32 23 17 18 25 14 19 14 20 16 13 225
Infectious Control Clinic 136 124 167 123 155 122 88 91 142 134 123 118 1,523
DCP Clinic 93 76 82 52 97 76 106 47 30 84 82 59 884

120
OTHER MEDICAL SERVICES IN 2017

Number of patient services in 2017, classified by laboratory testing


Department of Dermatology, Siriraj Hospital

Number of visits
Services Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Immunofluorescence
DIF 75 73 100 68 79 71 70 89 70 71 89 67 922
IIF 20 20 21 26 18 25 21 24 27 25 23 33 283
Fungus
KOH 813 891 1,007 777 1,066 1,039 1,012 1,166 958 886 915 869 11,399
Culture 387 501 514 397 500 468 468 559 512 411 501 362 5,580
Staining
Gram, Stain 25 20 31 15 45 32 24 24 29 30 17 13 305
Wright, stain 103 72 136 93 144 107 104 89 119 118 93 71 1,249
Acid fast stain 2 0 3 0 1 0 2 0 2 2 4 0 16
Modified AFB 0 0 2 0 0 0 0 1 1 0 1 0 5
Dark field examination 1 1 2 1 3 1 2 1 1 1 1 1 16
Specimens collection for Lab microbiology
Bacteria 35 46 57 20 49 52 41 48 34 25 32 33 472
Fungi 13 11 11 9 18 17 5 14 8 4 9 7 126
Mycobacteria 0 1 0 1 0 1 3 2 0 1 3 2 14
Virus (HSV&VSV) 1 0 0 0 0 0 1 0 0 0 0 0 2
Antigen (HSV&VSV) 18 21 18 18 18 14 15 7 15 7 6 11 168
PCR 14 11 11 9 17 16 8 15 11 5 8 6 131
G.C. 0 0 0 0 0 0 0 0 0 0 0 0 0
Genotype : HPV 0 0 0 6 17 2 6 0 6 4 14 4 59
Operation in STD Clinic
Aceto white 5 1 0 4 4 5 3 5 5 4 2 1 39
Podophyllin cautery 30 28 22 30 43 38 39 39 22 22 33 21 367
Lq N2O 10 9 3 1 0 3 8 8 6 13 9 15 85
60% TCA 0 0 0 0 3 0 3 5 8 1 0 0 20
85% TCA 0 0 0 0 0 0 1 1 0 9 6 4 21

121
STATISTICAL REPORT 2017

Number of patient services in 2017, classified by operative


Department of Dermatology, Siriraj Hospital

Number of visits
Services Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
General injections 4 9 8 5 8 12 7 18 7 7 25 45 155
TA inj. 10 mg./ml. 264 244 307 235 346 292 280 276 258 245 263 276 3,286
TA inj. 40 mg./ml. 22 20 19 26 29 20 10 16 20 17 20 25 244
Electrical cauterization 31 44 23 23 38 41 25 45 37 39 30 39 415
Liquid nitrogen 117 125 144 125 142 122 107 130 123 111 114 108 1,468
extraction 48 35 58 34 55 62 61 65 46 48 48 44 604
Dressing 63 54 109 52 72 84 92 79 93 68 93 82 941
Trichloroacetic acid application 46 34 39 28 45 38 44 57 38 39 35 31 474
Stitches off suture 40 40 61 47 65 54 34 55 55 50 53 37 591
Incision & drainage 1 3 6 4 7 3 10 6 6 2 3 1 52
Skin tag removal 15 11 7 15 8 13 9 13 12 9 11 12 135
Paring 29 36 24 28 31 28 32 32 34 29 29 24 356
Shave biopsy 17 22 17 26 23 17 10 12 10 16 18 12 200
AHA peeling 27 39 48 52 51 52 46 55 41 41 29 32 513
Iontophoresis 0 0 0 0 0 4 1 2 5 0 0 0 12
IM Infection 8 4 10 6 6 5 6 11 17 8 7 9 97
IV Injection 6 3 3 7 7 8 3 5 1 4 0 1 48
Aspiration of skin 4 5 7 2 7 5 7 5 23 11 12 4 92
Sclero 0 0 0 7 4 0 0 0 0 0 3 0 14

122
Statistics of Department of Forensic Medicine
Number of patients in 2017, classified by Indicators, Siriraj Hospital

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 555 545 605 536 547 528 459 524 534 504 555 495 6,387
2.1 Inside area of responsibility Case 511 506 570 501 503 481 423 492 494 456 514 443 5,894
2.2 Outside area of responsibility Case 44 39 35 35 44 47 36 32 40 48 41 52 493
3. Case of Clinical Forensic Medicine Case 849 660 784 543 670 719 640 705 706 645 702 686 8,309
4. The court witness Case 2 10 12 7 13 8 16 22 25 6 13 13 147
5. Case of Specimen Case 758 673 762 675 1,011 817 671 685 742 601 727 690 8,812
6. Slide of Histochemistry Laboratory Case 2,977 2,764 2,752 2,426 2,283 4002 3100 2232 5220 3471 2832 3146 37,205
7. Sample of Forensic Toxicology Laboratory Sample 2,082 1,672 1,426 1,669 2,072 2866 2713 3179 2353 2375 1872 2742 27,021
8. Sample of Forensic Serology Laboratory Sample 214 218 223 222 207 252 192 180 189 180 183 198 2,458
9. Sample of Biological Trace Evidence Laboratory Sample 228 203 206 167 321 222 231 146 272 220 208 255 2,679
Total 8,252 7,322 7,407 6,813 7,703 9,974 8,513 8,229 10,607 8,538 7,679 8,752 99,789

123
OTHER MEDICAL SERVICES IN 2017
124
Statistics of Department of Parasitology
Number of examining at the central laboratory in 2017, classified by type of examining, Siriraj Hospital
STATISTICAL REPORT 2017

Number of examining
List of examining Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Direct wet smear 1,053 999 1,181 1,076 1,138 1,126 1,093 1,053 1,106 1,010 1,094 1,013 12,942
2. Stool test to examine occult blood by Guaiac test 447 414 497 386 494 488 444 447 502 404 566 435 5,524
3. Stool test by modified formalin-ethyl acetate 381 405 537 442 511 368 404 381 378 396 350 380 4,933
4. Stool test to examine fat 32 31 48 24 35 41 32 32 31 32 22 40 400
5. Stool test by simple sedimentation 0 0 0 0 0 0 0 0 0 0 0 0 0
6. Stool test by scotch tape techinique 0 0 0 0 0 0 1 0 0 0 0 0 1
7. Stool test to examine occult blood by 153 102 124 106 160 154 139 153 173 157 198 172 1,791
Immunochromatographic test
8. Blood test to examine Malaria by Giemsa 11 6 4 3 8 8 9 11 11 5 3 9 88
(Thick film & Thin film)
9. Blood test to examine Filaria by Giemsa 6 4 1 1 2 2 0 6 6 2 2 4 36
10. Test Malaria antigen by Rapid test 1 1 6 3 5 7 5 1 2 3 4 3 41
Total 2,084 1,962 2,398 2,041 2,353 2,194 2,127 2,084 2,209 2,009 2,239 2,056 25,756
Number of examining at the special laboratory in 2017, 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 Ab to Entamoeba histolytica by ELISA 4 8 3 16 4 2 2 4 7 12 4 3 69
2. Examine Ab to Cysticercus Cellulosae by ELISA 3 1 3 2 3 4 3 3 4 7 5 3 41
3. Examine IgG Ab to Toxoplasma gondii by ELISA 1 0 2 1 2 0 1 1 3 1 5 1 18
4. Examine IgM Ab to Toxoplasma gondii by ELISA 1 0 2 1 2 0 1 1 3 1 4 1 17
5. Examine Ab to Gnathostoma spinigerum by western blot 5 3 4 10 8 8 4 5 8 4 7 4 70
6. Examine Ab to Angiostrongylus contonensis by ELISA 2 2 3 5 4 2 4 2 4 2 6 2 38
7. Examine IgG Ab to Filaria by ELISA 6 2 2 0 2 7 3 6 7 3 0 3 41
8. Examine Protozoa by Trichrome pigmentation 7 5 6 7 3 5 4 7 8 3 5 4 64
9. Examine the Cryptosporidium by modified acid-fast pigmentation 11 9 17 7 18 17 9 11 13 7 17 13 149
10. Examine the Pneumoncystis by GMS pigmentation 26 18 34 23 19 23 15 26 26 24 28 15 277
11. Examine the Pneumoncystis by Giemsa pigmentation 36 14 36 22 26 29 13 36 25 25 38 21 321
12. Examine the Microsporidium by modified trichrome pigmentation 17 9 12 6 13 11 8 17 25 7 13 11 149
13. Examine the Pneumoncystis by IFA pigmentation 46 17 36 35 29 50 23 46 37 41 44 37 441
14. Examine the Acanthamoeba by culture 37 53 108 47 86 113 67 37 91 76 69 121 905
15. Examine the Leishmania by culture 0 0 0 0 0 0 0 0 0 0 0 0 0
16. Parasite Identification 1 0 0 1 1 0 0 1 2 1 1 1 9
17. Arthropod identification 1 0 0 2 0 0 0 1 1 0 0 0 5
Total 204 141 268 185 220 271 157 204 264 214 246 240 2,614

125
OTHER MEDICAL SERVICES IN 2017
126
Statistics of Department of Pathology
Number of services in 2017, classified by working type, Siriraj Hospital
Number of services
STATISTICAL REPORT 2017

Working type Unit Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Claim the body case 166 159 162 179 180 173 182 167 160 173 164 183 2,048
Embalm case 86 87 84 106 94 62 87 67 100 78 106 128 1,085
Autopsy case 11 14 8 11 7 5 13 10 4 14 13 6 116
Autopsy Slide 772 491 735 583 329 395 469 542 486 669 895 376 6,742
Autopsy Block 686 396 639 545 279 310 402 553 880 592 745 274 6,301
Disposal of the dead body
Given to relatives case 140 139 150 153 186 116 160 146 135 145 141 170 1,781
Poh Teck Tung Foudation case 0 64 0 0 0 76 0 0 9 0 0 0 149
Given to Department of Anatomy case 7 4 4 8 6 4 6 5 0 5 5 3 57
Given to Siriraj Hospital case 0 1 0 0 0 1 0 0 40 0 0 0 42
Biopsy
Surgical case 3,251 3,048 3,535 2,771 3,517 3,448 3,336 3,685 3,321 2,946 3,544 3,043 39,445
Surgical Slide 21,648 22,025 22,612 17,482 22,859 23,311 22,326 23,645 22,852 19,972 23,629 21,334 263,695
Surgical Block 16,687 16,488 17,796 12,640 18,136 18,964 15,105 15,755 17,891 14,085 16,898 15,109 195,554
X-Surgical case 294 250 272 209 263 255 249 279 224 217 263 203 2,978
X-Surgical Slide 3,004 2,066 1,578 1,065 1,501 1,485 1,436 2,612 2,166 1,915 1,642 1,353 21,823
X-Surgical Block 377 479 510 488 516 642 408 488 501 475 579 487 5,950
SiPH-surgical case 470 509 569 522 635 605 683 642 640 688 692 705 7,360
SiPH-surgical Slide 2,554 2,652 2,551 2,735 3,137 3,305 3,827 3,536 3,554 3,752 3,637 3,673 38,913
SiPH-surgical Block 2,064 2,128 2,071 2,156 2,520 2,834 3,158 3,097 2,980 2,975 2,870 2,971 31,824
Number of services in 2017, 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
Histochemistry
Histochemistry Slide 3,034 2,776 3,142 2,795 3,116 3,153 3,033 3,226 3,099 2,887 3,325 2,972 36,558
Histochemistry Type 42 41 38 41 41 42 38 41 43 41 40 41 489
Frozen section (Surgical)
Frozen section (Surgical) case 107 66 66 64 88 82 72 94 79 61 76 68 923
Frozen section (Surgical) Slide 540 335 344 305 421 385 367 451 330 272 412 351 4,513
Frozen section (Surgical) Block 312 184 201 176 237 230 215 278 186 179 237 216 2,651
Frozen section (SiPH-Surgical)
Frozen section (SiPH-Surgical) case 9 9 12 6 6 8 14 11 6 7 6 14 108
Frozen section (SiPH-Surgical) Slide 33 43 50 22 24 37 58 42 27 21 22 66 445
Frozen section (SiPH-Surgical) Block 23 25 32 13 17 23 41 28 16 14 16 40 288
Immunoperoxidase
Immunoperoxidase Slide 4,339 4,056 4,778 3,545 4,655 4,143 4,748 4,900 4,520 4,621 4,678 4,494 53,477
Immunoperoxidase Type 211 209 213 211 216 210 203 206 222 212 221 207 2,541
Cytology
Cytology case 598 594 661 555 664 617 618 707 693 587 606 586 7,486
Cytology Slide 2,679 2,658 2,975 2,022 2,756 2,642 2,517 3,090 2,362 2,413 2,432 2,397 30,943
Cytology Block 263 258 297 204 265 284 238 276 204 243 218 221 2,971

127
OTHER MEDICAL SERVICES IN 2017
128
Number of services in 2017, classified by working type (cont.)
Department of Pathology, Siriraj Hospital
Number of services
STATISTICAL REPORT 2017

Working type Unit Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cytogynae-SiPH
Cytogynae-SiPH case 434 418 491 390 516 570 608 509 603 482 595 539 6,155
Cytogynae-SiPH Slide 434 418 491 390 516 570 608 509 603 482 595 539 6,155
Cytonongynae-SiPH
Cytonongynae-SiPH case 67 67 80 73 81 81 124 112 90 86 100 87 1,048
Cytonongynae-SiPH Slide 314 359 337 301 388 406 583 574 418 427 428 416 4,951
Cytonongynae-SiPH Block 32 38 44 41 36 39 67 54 41 45 37 37 511
Electron Microscope image test
Transmission case 39 70 66 35 80 78 50 59 84 48 60 67 736
Transmission Slide 213 456 332 147 469 454 196 368 519 274 257 318 4,003
Transmission Image 160 209 322 157 360 267 376 263 140 489 242 232 3,217
Statistics of Department of Clinical Pathology
Number of laboratory examination and services provision in 2017, classified by laboratory, Siriraj Hospital

Number of examination
Number of
Central laboratory Special Laboratory
Month Total test patients
Chemical Hemostasis Hematology Microscopy Serology & Hemostasis Molecular Down POCT (visits)
clinic system Immunology system Biology Syndrome
January 475,455 15,312 42,233 16,881 4,291 398 55 114 2,135 556,874 95,127
February 441,030 14,618 39,111 15,741 4,069 398 55 122 1,940 517,084 88,884
March 517,435 17,609 45,916 18,334 4,918 479 57 141 2,243 607,132 102,226
April 437,466 14,858 38,508 15,209 3,942 383 52 143 1,910 512,471 86,678
May 505,177 16,794 44,605 18,024 4,951 481 56 137 2,166 592,391 100,938
June 474,091 16,105 42,962 17,376 4,633 451 84 141 2,144 557,987 95,372
July 479,422 16,500 43,015 17,405 4,367 393 67 138 2,228 563,535 97,126
August 506,707 17,655 46,328 19,064 4,790 348 101 138 2,496 597,627 104,370
September 495,836 17,610 44,374 17,751 4,486 331 72 144 2,138 582,742 100,754
October 459,373 17,039 40,890 15,827 3,872 156 95 121 2,124 539,497 94,349
November 509,899 17,607 45,484 17,645 4,348 166 58 119 2,278 597,604 103,110
December 464,319 16,248 41,444 16,375 5,879 201 70 112 2,187 546,835 94,878
Total 5,766,210 197,955 514,870 205,632 54,546 4,185 822 1,570 25,989 6,771,779 1,163,812

129
OTHER MEDICAL SERVICES IN 2017
130
Number of examination at Central Laboratory: Chemical clinic in 2017
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
STATISTICAL REPORT 2017

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Alkaline Phosphatase 12,477 11,819 13,704 11,588 13,695 12,993 13,097 14,207 13,214 12,454 13,396 12,429 155,073
2. GGT 1,033 1,021 1,289 941 1,111 1,049 1,125 1,070 1,241 898 1,127 1,095 13,000
3. BUN 30,609 28,337 33,298 28,853 32,413 31,382 31,680 32,904 31,838 29,832 32,587 30,188 373,921
4. LDH-L 1,542 1,527 1,785 1,414 1,713 1,545 1,688 1,695 1,498 1,593 1,580 1,482 19,062
5. AST (SGOT) 20,858 19,111 22,326 18,705 22,135 21,148 20,891 22,616 21,717 19,717 22,290 20,260 251,774
6. ALT(SGPT) 22,801 21,144 24,663 20,582 24,510 23,242 22,918 24,864 24,106 21,660 24,618 22,270 277,378
7. CPK 1,824 1,561 1,955 1,634 1,911 1,853 1,697 1,748 1,891 1,628 1,919 1,648 21,269
8. CHOLESTEROL 16,833 15,828 18,348 15,306 17,990 16,659 16,267 17,396 17,256 15,085 18,268 15,593 200,829
9. HDL-CHOL 15,704 14,751 17,282 14,254 16,984 15,484 15,106 16,349 16,107 14,143 17,021 14,498 187,683
10. URIC ACID 6,306 5,836 6,744 5,784 6,626 6,375 6,290 7,206 6,713 5,564 6,702 5,448 75,594
11. TRIGLYCERIDE 17,315 16,274 18,986 15,709 18,682 17,226 16,850 18,105 17,884 15,866 18,900 16,242 208,039
12. GLUCOSE 26,718 24,653 28,943 23,973 28,787 26,495 26,026 27,878 27,298 24,530 28,364 24,862 318,527
13. PHOSPHORUS 9,604 9,116 10,781 9,237 9,903 9,368 10,054 9,839 9,838 9,715 9,894 9,794 117,143
14. ALBUMIN 18,310 16,875 19,907 16,597 19,325 18,215 18,495 18,912 18,606 17,277 19,325 17,663 219,507
15. TOTAL BILIRUBIN 10,725 9,899 11,635 9,921 11,565 10,852 11,194 11,571 11,152 10,779 11,398 10,562 131,253
16 TOTAL PROTEIN 12,145 11,247 13,070 10,969 13,049 12,111 12,245 12,770 12,562 11,559 12,790 11,815 146,332
17. AMMONIA 43 77 135 59 109 111 56 119 109 102 83 107 1,110
18. TOTAL CALCIUM 8,515 7,833 9,163 7,879 8,846 8,074 8,723 8,698 8,547 8,209 8,739 8,679 101,905
19. CREATININE 50,155 46,023 54,452 45,739 53,332 50,065 50,140 53,663 51,873 48,456 54,514 49,020 607,432
Number of examination at Central Laboratory: Chemical clinic in 2017 (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
20. DIRECT BILIRUBIN 10,305 9,554 11,204 9,519 11,145 10,317 10,731 11,041 10,741 10,382 10,976 10,186 126,101
21. MAGNESIUM 7,055 6,738 7,969 6,652 7,128 6,968 7,113 7,082 7,083 7,343 7,238 7,275 85,644
22. AMYLASE 247 247 295 251 299 286 283 302 291 274 308 329 3,412
23. SODIUM 28,676 26,604 30,861 27,068 29,962 28,227 29,216 30,828 30,044 28,698 30,608 28,800 349,592
24. POTASSIUM 32,622 30,168 35,098 30,555 34,145 31,956 32,871 34,840 33,916 32,142 34,783 32,360 395,456
25. CHLORIDE 27,120 25,224 29,136 25,619 28,148 26,679 27,650 29,406 28,439 27,092 28,806 27,380 330,699
26. BICARBONATE(CO2) 28,180 26,156 30,190 26,554 29,355 27,646 28,812 30,564 29,513 28,170 29,955 28,419 343,514
27. IONIZED CALCIUM 2,814 2,862 3,463 2,789 2,778 2,918 2,964 3,028 3,037 3,108 2,864 3,089 35,714
28. TRANSFERRIN 33 27 21 22 15 31 28 23 26 30 23 29 308
29. HAPTOGLOBIN 50 53 72 53 57 42 39 40 51 46 44 44 591
30. Troponin-T 947 996 1,166 880 1,057 994 1,175 1,224 1,162 997 992 1,073 12,663
31. Ketone 200 216 253 265 240 231 219 238 218 180 277 264 2,801
32. T3 2,577 2,379 2,943 2,288 2,796 2,671 2,542 2,522 2,687 2,230 2,686 2,318 30,639
33. T4 455 450 518 438 577 526 426 505 439 366 519 377 5,596
34. FT4 4,501 4,098 5,069 3,954 4,895 4,523 4,537 4,642 4,729 4,175 4,847 4,361 54,331
35. TSH 5,479 5,050 6,204 4,890 6,074 5,512 5,527 5,637 5,729 5,066 5,860 5,309 66,337
36. CORTISOL 666 636 683 542 682 551 556 679 601 556 604 505 7,261
37. INSULIN 336 299 394 333 306 276 297 399 330 309 283 254 3,816
38. BLOOD GAS 1,720 1,657 1,818 1,729 1,670 1,566 1,752 2,409 2,564 2,359 2,326 2,334 23,904

131
OTHER MEDICAL SERVICES IN 2017
132
Number of examination at Central Laboratory: Chemical clinic in 2017 (cont.)
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
STATISTICAL REPORT 2017

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
39. Hb A1C 14,816 13,481 15,750 13,008 16,198 14,459 14,426 14,902 15,661 13,953 16,458 14,015 177,127
40. U/CSF MICRO TOTAL PROTEIN 2,421 2,057 2,646 1,993 2,537 2,323 2,340 2,433 2,259 2,117 2,471 2,162 27,759
41. LIPASE 213 199 229 207 246 234 214 244 241 228 232 247 2,734
42. LACTATE 1,013 1,026 1,564 1,236 1,279 1,202 1,190 1,370 1,472 1,259 1,418 1,654 15,683
43. CK-MB 352 420 560 373 380 432 374 439 404 325 369 374 4,802
44. DIRECT LDL 4,888 4,489 5,525 4,358 5,399 4,982 4,810 4,992 5,136 4,499 5,301 4,663 59,042
45. PARATHYROID 1,343 1,260 1,439 1,209 1,400 1,342 1,426 1,365 1,352 1,324 1,368 1,341 16,169
46. B-crosslaps 246 220 261 205 224 274 270 265 251 216 286 276 2,994
47. N-Mid osteocalcin 128 84 122 72 90 91 90 103 104 87 117 95 1,183
48. Pro BNP 87 69 140 98 107 122 115 135 117 105 158 130 1,383
49. TOTAL P1NP 200 176 214 147 179 212 227 216 197 169 222 236 2,395
50. MICROALBUMIN 2,653 2,312 2,840 2,309 2,746 2,455 2,486 2,709 2,936 2,791 3,270 2,775 32,282
51. LH 308 255 273 200 283 273 243 265 235 235 239 207 3,016
52. ESTRADIOL 341 289 306 219 307 290 283 285 268 268 238 179 3,273
53. PROGESTERONE 34 38 40 17 40 54 32 39 40 42 33 20 429
54. PROLACTIN 332 315 365 269 333 349 324 320 328 304 324 283 3,846
55. PROCALCITONIN 332 281 344 342 520 479 385 613 533 556 580 601 5,566
56. TESTOSTERONE 285 276 308 291 317 330 299 278 283 254 295 257 3,473
57. FERITIN 1,491 1,315 1,558 1,379 1,506 1,411 1,432 1,367 1,393 1,320 1,465 1,378 17,015
Number of examination at Central Laboratory: Chemical clinic in 2017 (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
58. B12 281 258 321 277 302 307 317 331 352 275 329 288 3,638
59. FOLATE 216 201 257 217 257 211 301 251 242 217 242 212 2,824
60. PREALBUMIN 160 109 92 102 72 100 102 79 88 119 95 73 1,191
61. CERULOPLASMIN 18 30 11 19 20 25 18 22 23 23 31 28 268
62. AIPHA 1 ANTYTRYSIN 3 2 2 2 3 2 2 1 3 1 1 1 23
63. FSH 453 412 458 343 487 476 461 463 409 393 407 332 5,094
64. VITAMIN D (TOTAL) 1,682 1,579 1,843 1,535 1,862 1,750 1,854 1,993 1,901 1,737 2,034 1,919 21,689
65. Free T3 (FT3) 387 379 477 433 530 502 516 547 540 482 571 463 5,827
66. sFlt-1 4 1 3 1 2 3 3 6 2 2 2 5 34
67. PIGF 4 1 3 1 2 3 3 6 2 2 2 5 34
68. Carboxyhemoglobin (COHb) 0 0 1 0 2 0 0 1 0 1 0 1 6
69. Methemoglobin (MetHb) 1 3 5 13 15 5 5 5 1 2 2 0 57
70. Lipoprotein(a) 17 13 9 16 27 18 9 17 12 66 25 9 238
71. SHBG 8 6 6 8 10 6 18 13 16 21 15 22 149
72. DHEA-S 11 17 20 17 13 9 25 23 24 38 23 24 244
73. C-peptide 64 52 100 57 70 39 71 85 56 58 51 50 753
74. High sensitivity CRP 152 170 183 170 162 150 159 252 213 153 165 0 1,929
75. C-Reactive Protien 1,800 1,610 1,896 1,593 1,851 1,891 1,825 1,811 2,014 1,609 1,986 0 19,886
76. MICROBILIRUBIN 1,211 1,279 1,441 1,185 1,384 1,113 1,487 1,442 1,678 1,532 1,560 1,633 16,945
Total 475,455 441,030 517,435 437,466 505,177 474,091 479,422 506,707 495,836 459,373 509,899 464,319 5,766,210

133
OTHER MEDICAL SERVICES IN 2017
134
Number of examination at Central Laboratory: Hemostasis system in 2017
Department of Clinical Pathology, Siriraj Hospital

Number of examination (Test)


STATISTICAL REPORT 2017

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Fibrinogen 707 737 1,106 809 819 819 848 1,038 1,125 961 925 883 10,777
2. Prothrombin Time ( PT ) 8,509 7,985 9,528 8,075 9,012 8,732 8,855 9,491 9,334 8,941 9,472 8,619 106,553
3. Activated Partial Thromboplastin Time (APTT) 5,740 5,523 6,561 5,638 6,578 6,179 6,474 6,655 6,732 6,679 6,720 6,278 75,757
4. D-dimer 317 357 376 293 362 334 288 427 389 415 432 372 4,362
5. Anti Xa assay (Unfractionated heparin) 5 0 13 7 2 9 0 2 0 14 20 67 139
6. Anti Xa assay (Anticoagulants, others) 0 0 0 0 0 0 0 0 0 0 1 0 1
7. Anti Xa assay (Fondaparinux) 6 0 1 1 0 0 0 1 0 0 0 1 10
8. Anti Xa assay (Enoxaparin) 23 12 20 23 15 28 34 35 24 28 34 23 299
9. Anti Xa assay (Tinzaparin) 2 2 2 7 1 0 0 0 2 0 2 1 19
10. Heparin-induced thrombocytopenia 3 2 2 5 5 4 1 6 4 1 1 4 38
(HIT) IgG, rapid test
Total 15,312 14,618 17,609 14,858 16,794 16,105 16,500 17,655 17,610 17,039 17,607 16,248 197,955
Number of examination at Central Laboratory: Hematology in 2017
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) 1,883 1,693 1,954 2,029 1,993 1,833 1,953 1,930 2,006 1,832 2,051 1,900 23,057
2. Platelet count ( Plt ) 17 42 21 24 45 51 31 41 12 14 34 28 360
3. Malaria 2 2 2 4 1 3 3 2 1 2 1 4 27
4. ESR 3,066 2,751 3,350 2,580 3,018 3,101 2,869 3,050 3,228 2,486 3,229 2,712 35,440
5. Reticulocyte 683 723 811 655 768 689 746 815 729 748 858 858 9,083
6. Complete blood count (CBC) 36,582 33,900 39,778 33,216 38,780 37,285 37,413 40,490 38,398 35,808 39,311 35,942 446,903
Total 42,233 39,111 45,916 38,508 44,605 42,962 43,015 46,328 44,374 40,890 45,484 41,444 514,870

135
OTHER MEDICAL SERVICES IN 2017
136
Number of examination at Central Laboratory: Microscopy in 2017
Department of Clinical Pathology, Siriraj Hospital
STATISTICAL REPORT 2017

Number of examination (Test)


Examining list Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Urine Pregnancy Test 303 286 350 278 316 342 301 337 294 295 318 267 3,687
2. Cell&Diff 516 510 565 476 566 544 514 515 511 457 537 530 6,241
3. pH (Fluid) 32 34 36 27 37 25 48 40 34 39 36 29 417
4. Crystal Joint fluid 45 58 77 48 64 53 67 76 73 74 87 80 802
5. Serum-Osmolality 257 255 289 250 285 275 249 290 332 262 292 297 3,333
6. Urine-Osmolality 381 369 423 303 405 399 457 467 490 406 415 413 4,928
7. Routine Urine Examination 15,235 14,133 16,471 13,712 16,233 15,612 15,658 17,220 15,905 14,221 15,850 14,639 184,889
8. Hemosiderin - Score 9 4 6 3 6 6 2 7 6 8 8 6 71
9. RBC count (Body fluid) 103 92 117 112 112 120 109 112 106 65 102 114 1,264
Total 16,881 15,741 18,334 15,209 18,024 17,376 17,405 19,064 17,751 15,827 17,645 16,375 205,632
Number of examination at Special Laboratory: Serology and Immunology in 2017
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 6 14 15 10 13 21 15 13 13 10 13 16 159
2. Autoimmune Liver profile 14 3 7 3 6 8 8 5 11 2 9 5 81
3. Autoimmune Liver Profile Plus 0 2 1 3 0 2 0 0 0 3 0 2 13
4. ANCA Profile 1.(IFA) 35 24 21 27 24 26 17 27 29 28 31 29 318
5. ANCA Profile 2.(ELISA) 9 13 12 9 9 8 15 27 24 10 21 13 170
6. Myositis Profile 32 26 37 26 28 17 20 20 10 17 16 8 257
7. Myositis Profile 4 4 4 5 9 7 5 5 4 10 9 8 7 77
8. Inflammatory Bowel Profile 3 4 2 0 2 2 1 1 2 1 0 0 18
9. Sclerosis Profile 2 6 1 1 2 1 1 3 3 0 2 2 24
10. ANA 520 465 566 430 518 522 549 575 531 459 498 461 6,094
11. Anti-dsDNA 192 167 211 133 186 173 178 205 167 136 170 183 2,101
12. Anti-Smith (Anti-Sm) 36 23 33 38 30 16 31 29 23 27 26 27 339
13. Anti-nRNP 12 6 11 11 3 5 7 10 12 6 8 8 99
14. Rheumatoid Factor(RF) 127 123 149 111 140 137 130 151 136 115 114 130 1,563
15. Anit.-CCP 51 38 62 34 68 50 59 58 58 52 46 0 576
16. ANCA Ethanol fixed 16 14 13 11 14 5 13 8 22 6 6 8 136
17. Anti-Myeloperoxidase (MPO) (EIA) 5 11 13 22 8 14 5 9 5 9 13 3 117
18. Anti-Proteinase 3(PR3)(EIA) 2 5 4 7 5 6 1 7 5 9 10 0 61

137
OTHER MEDICAL SERVICES IN 2017
138
Number of examination at Special Laboratory: Serology and Immunology in 2017 (cont.)
Department of Clinical Pathology, Siriraj Hospital
Number of examination (Test)
STATISTICAL REPORT 2017

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
19. Anti-Ro (SS-A) 29 30 38 33 20 27 32 40 32 20 21 32 354
20. Anti-LA (SS-B) 26 30 38 33 19 26 32 38 34 20 21 30 347
21. Anti-Mitochondrial AB(AMA) 19 11 14 15 19 16 24 16 15 11 23 16 199
22. Anti - liver Kidney Microsomal Ab (Anti-LKM) 15 17 12 19 18 10 12 7 8 25 16 13 172
23. Anti - Smooth muscie Ab (SMA) 31 36 32 34 40 41 29 30 37 38 58 36 442
24. Anti - Scl 70 16 12 12 16 9 14 7 8 15 14 20 8 151
25. Anti - Centromare 20 12 16 15 7 12 10 4 13 7 6 1 123
26. Anti - Glomerular Basement Mwmbrana (Ant-GBM) 8 6 11 12 11 12 7 16 8 15 16 22 144
27. Anti - Thyroglobulin (Anti-TG) 81 68 128 94 117 94 104 126 100 90 90 77 1,169
28. Anti - Thyroidperoxidase (Anti-TPO) 93 74 134 108 139 114 130 147 123 110 108 116 1,396
29. Anti - TSH receptor lgG 117 110 136 103 146 128 119 158 155 126 139 137 1,574
30. Anti-Cardiolipin lgG 61 78 90 62 98 78 58 93 98 84 88 101 989
31. Anti-Cardiolipin lgM 57 70 83 57 87 72 51 87 85 73 81 94 897
32. Anti-Cardiolipin lgA 3 3 7 4 4 3 2 1 4 3 3 8 45
33. Anti-Beta-2 glycoprotein 1 IgGBeta2 IgG 63 74 83 57 93 75 56 87 89 64 79 96 916
34. Anti-Beta-2 glycoprotein 1 IgGBeta2 IgM 68 76 95 68 96 78 66 94 100 76 91 114 1,022
35. Anti-Beta-2 glycoprotein 1 IgGBeta2 IgA 3 3 5 4 4 1 4 1 4 2 4 5 40
36. Anti-acetylcholine receptor 3 3 2 0 2 4 2 6 3 1 6 3 35
Number of examination at Special Laboratory: Serology and Immunology in 2017 (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. VDRL 2,305 2,212 2,591 2,097 2,730 2,608 2,351 2,446 2,286 2,010 2,286 1,944 27,866
38. VDRL(CSF) 22 23 29 33 44 32 31 32 37 31 35 34 383
39. TPHA 151 154 165 150 150 148 155 164 149 123 137 129 1,775
40. FTA-ABS IgG 11 3 8 18 7 1 2 14 4 9 6 9 92
41. FTA-ABS IgM 5 0 2 3 6 1 3 2 4 4 4 4 38
42. FTA-ABS IgG (CSF) 0 1 1 3 5 0 1 0 0 0 1 0 12
43. FTA-ABS IgM (CSF) 0 0 0 2 2 0 0 1 0 0 0 0 5
44. Anti - T.pallidum. lgG (Western blot) 0 0 2 0 0 1 2 0 1 1 0 0 7
45. Anti - T.pallidum. lgM (Western blot) 1 0 1 0 0 1 2 0 1 1 0 0 7
46. Syphilis CMIA 0 0 0 0 0 0 0 0 0 1 2 0 3
47. Melioid Titer 16 14 20 17 14 17 19 20 19 13 15 15 199
48. Cold agglutinin Titer 1 1 0 0 1 1 1 0 1 1 1 1 9
49. High sensitivity CRP 0 0 0 0 0 0 0 0 0 0 0 129 129
50. C-Reactive Protien 0 0 0 0 0 0 0 0 0 0 0 1,803 1,803
Total 4,291 4,069 4,918 3,942 4,951 4,633 4,367 4,790 4,486 3,872 4,348 5,879 54,546

139
OTHER MEDICAL SERVICES IN 2017
140
Number of examination at Special Laboratory: Hemostasis system in 2017
Department of Clinical Pathology, Siriraj Hospital

Number of examination (Test)


STATISTICAL REPORT 2017

Examining list Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Protein C 36 23 35 23 36 37 21 35 29 26 29 37 367
2. Protein S 34 23 36 25 35 36 21 35 28 26 30 37 366
3. Antithrombin activity (AT) 35 24 40 23 43 32 16 29 27 25 23 29 346
4. LUPUS ANTICOAGULANT 293 328 368 312 367 346 335 249 247 79 84 98 3,106
Total 398 398 479 383 481 451 393 348 331 156 166 201 4,185

Number of examination at Special Laboratory: Infant Down Syndrome Screening Test in 2017
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) 90 99 108 107 112 118 103 102 116 98 102 95 1,250
2. Profile 2 (Triple Markers Screening) 0 0 0 0 1 0 0 0 2 0 0 0 3
3. Profile 3 (Quadruple Markers Screening) 24 23 33 34 24 23 35 36 26 22 16 17 313
4. Profile 4 (Five Markers Screening) 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Profile 5 (Second sample Markers Screening) 0 0 0 2 0 0 0 0 0 1 1 0 4
Total 114 122 141 143 137 141 138 138 144 121 119 112 1,570
Number of examination at Molecular Clinical Pathology Laboratory in 2017
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 2 0 0 0 0 0 2 0 1 0 1 8
2. TCRG rearrangement 1 2 1 0 0 0 0 3 0 1 0 2 10
3. TCRD rearrangement 2 3 0 0 0 0 0 2 0 0 0 1 8
4. IGH rearrangement 0 0 1 0 1 2 1 3 0 2 1 0 11
5. IGK rearrangement 0 0 0 0 0 0 0 1 0 0 0 0 1
6. KRAS mutation 7 8 6 13 10 18 12 20 12 17 7 16 146
7. EGFR mutation 37 30 40 19 30 31 34 42 39 43 35 26 406
8. BRAF mutation 0 4 2 8 7 15 11 15 10 15 9 10 106
9. NRAS mutation 6 6 7 12 8 18 9 13 11 16 6 14 126
Total 55 55 57 52 56 84 67 101 72 95 58 70 822

Number of examination at Point of Care (Glucose) in 2017


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 2,135 1,940 2,243 1,910 2,166 2,144 2,228 2,496 2,138 2,124 2,278 2,187 25,989

141
OTHER MEDICAL SERVICES IN 2017
142
Statistics of Department of Pharmacology
Number of laboratory services in 2017, classified by services, Siriraj Hospital
Price January February March April May June
Detail
STATISTICAL REPORT 2017

(Baht) Number Bath Number Bath Number Bath Number Bath Number Bath Number Bath
1. Allergen Vaccine for immunotherapy (bottle)
1.1 Official working hour
10 PNU/ml 100 1 100 0 0 3 300 0 0 0 0 2 200
100 PNU/ml 100 2 200 0 0 5 500 0 0 0 0 2 200
1,000 PNU/ml 200 2 400 0 0 5 1,000 0 0 0 0 2 400
10,000 PNU/ml 500 9 4,500 8 4,000 17 8,500 8 4,000 6 3,000 9 4,500
1.2 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 0 0 0 0 0 0 0 0 1 100
1,000 PNU/ml 200 0 0 1 200 0 0 0 0 0 0 1 200
10,000 PNU/ml 500 2 1,000 6 3,000 4 2,000 2 1,000 3 1,500 3 1,500
2. Allergen Vaccine for skin test (person)
Prick test liquid during official working 500 3 1,500 0 0 0 0 0 0 0 0 1 500
ID test liquid during official working hour 300 12 3,600 0 0 0 0 14 4,200 0 0 1 300
3. Steriol level test (person)
In the hospital 280 0 0 2 560 2 560 1 280 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-1 940 0 0 0 0 0 0 0 0 0 0 0 0
ID Hospital 771031
Total 31 11,300 17 7,760 36 12,860 25 9,480 9 4,500 22 7,900
Number of laboratory services in 2017, 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)
1.1 Official working hour
10 PNU/ml 0 0 0 0 0 0 0 0 0 0 1 100 7 700
100 PNU/ml 0 0 0 0 0 0 1 100 0 0 1 100 11 1,100
1,000 PNU/ml 0 0 0 0 0 0 2 400 0 0 1 200 12 2,400
10,000 PNU/ml 4 2,000 11 5,500 13 6,500 12 6,000 8 4,000 1 500 106 53,000
1.2 Outside of official hour
10 PNU/ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 PNU/ml 0 0 0 0 0 0 0 0 0 0 0 0 1 100
1,000 PNU/ml 1 200 0 0 0 0 0 0 0 0 0 0 3 600
10,000 PNU/ml 2 1,000 1 500 4 2,000 1 500 5 2,500 0 0 33 16,500
2. Allergen Vaccine for skin test (person)
Prick test liquid during official working 0 0 0 0 0 0 0 0 0 0 0 0 4 2,000
ID test liquid during official working hour 0 0 0 0 13 3,900 0 0 0 0 0 0 40 12,000
3. Steriol level test (person)
In the hospital 0 0 0 0 0 0 0 0 0 0 0 0 5 1,400
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 0 0 0 0 0 0 0 0 0 0 125 117,500 125 117,500
ID Hospital 771031
Total 7 3,200 12 6,000 30 12,400 16 7,000 13 6,500 129 118,400 347 207,300

143
OTHER MEDICAL SERVICES IN 2017
144
Statistics of Department of Radiology
Number of patients in 2017, classified by patient's type, Out-patients unit
Division of Radiotherapy, Siriraj Hospital
STATISTICAL REPORT 2017

Number of visits
Patient's type Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Consulted patient 271 228 308 200 295 263 256 264 268 234 229 228 3,044
2. Planning 146 135 177 144 156 177 132 176 145 164 162 144 1,858
3. Treated patient (F/U during RT) 349 408 498 440 852 1,180 979 584 624 624 577 577 7,692
4. Followed up patient 137 1,173 1,345 929 1,373 1,350 1,431 1,287 1,197 1,262 1,654 1,807 14,945
5. Acitivity / Operation
5.1 Pap Smear 266 261 290 203 287 306 258 237 218 180 233 239 2,978
5.2 Anesthesia service 4 1 3 0 0 1 2 3 1 2 3 1 21
5.3 ENT Endoscopy 10 4 0 0 0 0 0 3 8 8 4 3 40
5.4 Venipuncture 30 29 31 10 21 31 46 35 43 45 45 45 411
5.5 Injection/ Medical Contrast Medium 60 55 45 51 82 92 84 84 45 88 96 72 854
5.6 Dressing 28 35 38 15 26 13 20 84 51 4 66 42 422
5.7 NG Tube Insertion 3 6 4 1 7 10 3 3 3 7 11 4 62
5.8 Other 6 7 8 7 8 11 4 6 12 9 19 6 103
Total 1,310 2,342 2,747 2,000 3,107 3,434 3,215 2,766 2,615 2,627 3,099 3,168 32,430
Number of patients and Bed Occupancy Rate in 2017, classified by bed type, In-patients Unit
Division of Radiotherapy, Department of Radiology, Siriraj Hospital

Bed Occupancy Rate Length of Stay


Number of new patient Death
Private Room Curtained Room Common Room (LOS)
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 42 13 15 39.63 6 37.10 3 41.94 21 58.06 10 80.65 7.00 10.64 1 0
February 33 20 7 17.35 4 55.36 4 15.05 22 55.61 16 39.78 6.50 3.41 1 1
March 44 27 18 52.53 6 50.00 8 83.87 20 84.33 19 67.74 5.93 8.38 0 2
April 36 9 17 65.24 3 45.00 2 100.00 16 34.76 7 50.67 9.05 27.75 2 1
May 52 12 21 56.68 4 66.13 1 100.00 27 62.67 11 78.71 5.17 6.70 1 0
June 42 13 18 60.95 2 53.33 1 63.33 22 59.05 12 78.00 7.60 3.00 2 0
July 42 17 20 51.15 3 72.58 2 45.16 19 63.59 15 55.48 8.35 5.23 4 0
August 48 17 15 48.39 9 58.06 2 58.06 24 66.82 18 69.68 5.36 9.17 4 0
September 42 12 12 47.62 4 40.00 1 46.67 26 70.48 11 80.67 5.70 9.92 0 1
October 34 13 9 47.00 6 45.16 2 35.48 19 72.35 11 74.84 8.07 10.33 1 0
November 51 13 19 70.95 3 51.67 2 93.33 29 65.24 11 75.33 6.62 11.67 3 1
December 37 17 11 43.78 6 40.32 2 22.58 20 73.27 15 53.55 6.34 11.31 2 0

145
OTHER MEDICAL SERVICES IN 2017
146
Number of patients in 2017, classified by unit
Division of Radiotherapy, Department of Radiology, Siriraj Hospital

Number of visits
STATISTICAL REPORT 2017

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 354 276 551 336 655 604 499 421 448 392 548 409 5,493
Health Education service at Radiation room 525 557 637 509 626 658 545 699 763 545 667 689 7,420
Radioactive unit
New patients 30 17 16 15 23 34 15 28 14 19 24 17 252
Fraction 80 80 64 65 69 105 61 102 56 66 85 61 894
Medical Physics Unit :Treatment Planning
Manual Calculation 33 24 30 25 15 21 16 16 19 16 25 12 252
Computerized treatment planning 99 84 147 95 136 147 127 135 145 140 147 116 1,518
Fractionated radiotherapy 4 7 8 7 8 11 6 3 2 5 2 6 69
Radiology Center
CLINAC 23 FX (L3) 1,793 1,899 2,153 1,477 2,026 1,939 1,781 2,067 1,757 1,675 2,099 1,978 22,644
True Beam STx (L5) 378 406 524 381 395 558 433 531 592 411 627 601 5,837
True Beam (L6) 0 0 385 462 561 694 592 643 688 673 671 588 5,957
Conventional simulator 72/1 139 106 188 133 163 174 163 185 164 123 180 132 1,850
CT SIMULATOR 200 232 208 175 198 254 184 240 201 223 245 184 2,544
MRI SIMULATOR 0 0 40 49 48 55 41 60 45 68 44 45 495
Number of patients in 2017, classified by examination
Division of Diagnostic Radiology, Department of Radiology, Siriraj Hospital

Number of services
Examination type Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Common Radiograph 29,723 29,096 34,414 28,026 32,885 32,137 31,032 34,029 31,463 29,972 32,517 30,000 375,294
Ultrasound 4,051 3,715 4,235 3,473 4,483 4,427 3,875 4,433 4,346 3,997 4,466 4,292 49,793
X-ray Computer 4,799 4,314 4,843 4,010 5,077 4,953 4,512 5,074 4,736 4,542 5,102 4,612 56,574
Blood System Test 353 308 394 315 374 379 332 390 300 328 0 325 3,798
MRI 1,156 1,071 1,274 973 1,165 1,231 1,094 1,273 1,297 1,191 1,265 1,159 14,149
Media Contrast Examination 261 240 289 174 267 237 218 226 173 216 233 183 2,717
Total 40,343 38,744 45,449 36,971 44,251 43,364 41,063 45,425 42,315 40,246 43,583 40,571 502,325
Number of patients 33,470 32,165 37,721 30,683 36,713 35,908 34,119 38,112 35,241 33,515 36,035 33,831 417,513

147
OTHER MEDICAL SERVICES IN 2017
148
Number of services in CT Scan in 2017, classfied by organ system
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital
Radiopharmaceutical Number of visits
STATISTICAL REPORT 2017

Organ System Total


(type of examination) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
BONE SCAN Tc - 99 MDP 81 264 321 248 305 318 298 262 319 215 324 228 3,183
BONE DENSITY 46 56 50 37 42 57 54 59 39 31 31 36 538
BRAIN SCAN Tc - 99m ECD 0 1 3 0 2 3 1 3 4 3 0 0 20
CARDIAC (MUGA) Tc - 99m RBC 11 47 69 46 61 67 59 75 50 28 57 60 630
MYOCARDIAL PERFUSION Tc - 99m MIBI 0 0 16 11 17 15 13 0 19 21 27 8 147
CSF Scan Tc-99m DTPA 0 0 0 0 0 0 0 0 1 0 0 0 1
GI SYSTEM Tc - 99m HSA (protein losing) 0 1 1 1 1 3 2 1 1 0 0 1 12
Tc - 99m 04 (Meckle's) 0 0 2 0 1 1 0 2 1 2 0 1 10
Tc - 99m Phytate (bleeding) 0 0 0 0 0 0 0 0 1 0 0 0 1
Tc - 99m Phytate (liquid) 0 1 0 0 0 0 0 0 0 0 0 0 1
Tc - 99m Phytate (reflux) 0 0 2 0 0 0 0 0 0 0 0 0 2
Tc - 99m Phytate (Soild) 0 0 0 1 0 2 1 1 0 0 0 2 7
Tc - 99m RBC (bleeding) 0 0 0 0 0 0 0 0 0 0 1 0 1
HEPATOBILIARY SCAN Tc - 99m IDA Componds 4 1 3 1 2 9 0 0 2 1 0 0 23
RENAL SCAN Tc - 99m DMSA 0 3 7 6 10 6 2 1 2 5 5 7 54
Tc - 99m DTPA 0 4 5 3 3 7 5 5 2 4 11 4 53
Tc- 99m MAG3 0 11 19 11 20 59 26 13 44 12 28 13 256
Tc - 99m MAG3 (captopril) 0 0 0 0 0 0 0 0 0 1 0 0 1
Tc - 99m MAG3 (Voiding) indirect 0 0 1 1 0 0 1 1 0 0 1 0 5
Tc - 99m (voiding) direct 0 0 0 0 0 0 0 0 0 0 0 1 1
Number of services in CT Scan in 2017, classfied by organ system (cont.)
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital
Radiopharmaceutical Number of visits
Organ System Total
(type of examination) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
LIVER SCAN Tc - 99m RBC (hemangioma) 0 3 0 0 0 0 0 0 0 0 0 0 3
LUNG SCAN Tc - 99m MAA 0 5 15 4 5 3 5 7 10 6 13 5 78
Tc - 99m Technegas 0 4 10 4 5 3 5 8 6 4 9 5 63
LYMPHATIC SCAN Tc - 99m Dextran 1 20 19 18 24 19 16 7 15 10 12 7 168
SENTINEL NODE Tc - 99m Dextran 0 0 2 0 0 0 0 1 0 0 3 0 6
PARATHYROID SCAN Tc - 99m MIBI 0 0 0 0 0 0 6 3 0 10 0 0 19
Tc - 99m O4 / Tc - 99m MIBI 1 8 5 11 17 12 2 7 7 6 9 13 98
SALIVARY SCAN Tc - 99m Pertechnetate 0 0 0 1 0 0 0 0 0 0 0 0 1
THYROID SCAN I - 131 16 1 0 4 1 0 4 1 1 0 3 0 31
Tc - 99m Pertechnetate 30 37 46 35 34 33 36 64 16 29 45 34 439
TOTAL BODY SCAN I - 131 (TBS) 20 28 44 16 31 34 38 47 34 25 43 26 386
I - 131 ( Post treatment) 52 28 40 28 54 81 59 38 47 38 39 35 539
TUMOUR SCAN I - 131 MIBG 0 18 18 8 12 11 12 0 7 11 20 5 122
Tc - 99m MIBI 0 0 6 0 0 0 0 1 0 0 0 0 7
Tc - 99m Hynic-TOC 0 0 0 0 1 0 1 1 1 0 0 1 5
Gallium (Ga - 67) 0 6 5 4 13 12 24 10 6 9 16 4 109
TUMOUR F - 18 FDG 48 46 35 20 29 14 24 22 22 13 25 22 320
INFECTION SCAN Tc - 99m WBC 0 0 0 0 0 0 1 0 0 2 1 0 4
Gallium (Ga - 67) 0 7 0 0 0 0 0 0 0 0 0 7
OTHERS 14 14 45 18 0 20 32 24 36 9 29 16 257
Total 324 607 796 537 690 789 727 664 693 495 752 534 7,608

149
OTHER MEDICAL SERVICES IN 2017
150
Number of other services than scanning (1) in 2017, classified by work type
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital
STATISTICAL REPORT 2017

Number of visits
Type of work Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Blood Volumn 0 0 0 0 1 1 0 0 0 1 0 1 4
2. Thyroid Function Test (In vivo)
I - 131 uptake 91 86 83 62 96 61 65 93 64 62 69 63 895
Total 91 86 83 62 96 61 65 93 64 62 69 63 895
3. Treatment
3.1 Thyroid Cancer
Traditional treatment 14 15 20 14 10 20 15 25 16 11 13 15 188
Modern treatment 25 26 17 15 26 23 22 12 21 24 27 20 258
Follow up 585 554 707 474 599 516 564 646 589 509 625 531 6,899
Total 624 595 744 503 635 559 601 683 626 544 665 566 7,345
3.2 Toxic Goiter
Traditional treatment 13 10 11 19 12 11 7 7 13 3 7 8 121
Modern treatment 25 21 30 7 45 23 22 28 23 28 28 22 302
Follow up 285 330 312 224 376 298 229 248 246 218 245 204 3,215
Total 323 361 353 250 433 332 258 283 282 249 280 234 3,638
Total 1,038 1,042 1,180 815 1,165 953 924 1,059 972 856 1,014 864 11,882
Number of other services than scanning (2) in 2017, classified by work type
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital

January February March April May June July


Type of work Blood Number of Blood Number of Blood Number of Blood Number of Blood Number of Blood Number of Blood Number of
sample patients sample patients sample patients sample patients sample patients sample patients sample patients

4. Laboratory Thyroid Function Test (In Vitro) 0 844 0 841 0 960 0 698 0 929 0 863 0 822
T3 97 0 113 0 104 0 89 0 116 0 103 0 81 0
T4 577 0 575 0 688 0 478 0 625 0 571 0 537 0
TSH 724 0 728 0 830 0 624 0 804 0 731 0 710 0
FT3 11 0 4 0 13 0 6 0 436 0 7 0 81 0
FT4 147 0 148 0 141 0 151 0 178 0 0 0 170 0
External Quality Control (UK KEQAS) 25 5 25 0 25 5 25 5 25 5 25 5 26 5
External Quality Control (RIDAS) 7 1 7 5 7 2 7 2 7 2 7 2 7 2
Other (RJ & AS) 12 0 11 2 12 0 6 0 8 0 0 0 10 0
Total 1,600 850 1,611 848 1,820 967 1,386 705 2,199 936 1,444 870 1,622 829
5. Tumour Maker
Tg 424 0 403 0 489 0 324 0 436 0 417 0 401 0
TgAb 329 0 339 0 392 0 252 0 329 0 338 0 313 0
Total 753 0 742 0 881 0 576 0 765 0 755 0 714 0
Total 2,353 850 2,353 848 2,701 967 1,962 705 2,964 936 2,199 870 2,336 829

151
OTHER MEDICAL SERVICES IN 2017
152
Number of other services than scanning (2) in 2017, classified by work type (cont.)
Division of Nuclear Medicine, Department of Radiology, Siriraj Hospital

August September October November December Total


STATISTICAL REPORT 2017

Type of work Blood Number of Blood Number of Blood Number of Blood Number of Blood Number of Blood Number of
sample patients sample patients sample patients sample patients sample patients sample patients

4. Laboratory Thyroid Function Test (In Vitro) 0 908 0 834 0 804 0 924 0 782 0 10,209
T3 107 0 83 0 79 0 104 0 84 0 1,160 0
T4 642 0 574 0 547 0 631 0 563 0 7,008 0
TSH 798 0 725 0 698 0 806 0 736 0 8,914 0
FT3 6 0 3 0 6 0 2 0 0 0 575 0
FT4 153 0 152 0 157 0 181 0 0 0 1,578 0
External Quality Control (UK KEQAS) 25 5 25 5 25 5 25 5 25 5 301 55
External Quality Control (RIDAS) 7 2 6 2 7 2 7 2 7 2 83 26
Other (RJ & AS) 0 0 6 0 1 1 6 0 5 0 77 3
Total 1,738 915 1,574 841 1,520 812 1,762 931 1,420 789 19,696 10,293
5. Tumour Maker
Tg 444 0 414 0 398 0 453 0 439 0 5,042 0
TgAb 355 0 328 0 315 0 332 0 300 0 3,922 0
Total 799 0 742 0 713 0 785 0 739 0 8,964 0
Total 2,537 915 2,316 841 2,233 812 2,547 931 2,159 789 28,660 10,293
Statistics of Department of Immunology
Number of patients in 2017, 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 1,344 1,127 1,413 1,136 1,474 1,379 1,398 1,551 1,407 1,264 1,463 1,243 16,199
b-HCG 194 225 286 212 232 336 326 256 315 306 267 250 3,205
CEA 1,389 1,335 1,532 1,224 1,654 1,568 1,524 1,746 1,511 1,383 1,668 1,428 17,962
CA 15-3 92 67 87 63 81 78 86 79 83 76 59 72 923
CA 19-9 391 332 437 363 432 426 392 440 411 391 436 377 4,828
CA 125 474 479 543 450 554 584 472 534 544 481 524 487 6,126
PSA 2,227 2,048 2,288 1,988 2,241 2,267 2,201 2,255 2,156 2,089 2,325 2,066 26,151
NSE 36 26 23 33 22 37 27 28 28 22 22 22 326
Free PSA 26 24 21 18 33 26 19 27 28 20 35 36 313
HE4 14 10 10 10 12 7 7 10 10 7 6 12 115
1.2 Monoclonal gammopathies
Serum protein zone electrophoresis 179 176 196 153 197 182 193 200 196 191 215 176 2,254
Immunofixation 167 175 199 167 226 171 193 194 175 183 195 168 2,213
Free light chain immunoglobulin 174 181 181 164 213 166 205 195 182 197 212 171 2,241
Beta-2 microglobulin 15 26 26 26 19 13 18 17 18 32 32 20 262

153
OTHER MEDICAL SERVICES IN 2017
154
Number of patients in 2017, classified by diagnosis type (cont.)
Department of Immunology, Siriraj Hospital

Number of visits
STATISTICAL REPORT 2017

Diagnosis type Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1.3 Immunoglobulin and Complement level
C3 121 97 97 80 123 110 92 97 95 86 113 106 1,217
C4 90 69 69 62 97 81 68 75 71 66 75 75 898
IgG subclass 20 28 28 10 25 23 17 29 21 24 25 16 266
IgG 87 70 70 73 87 105 87 91 82 92 108 75 1,027
IgA 26 16 16 17 24 25 27 34 21 22 26 15 269
IgM 28 19 19 25 29 28 30 39 25 28 34 21 325
IgE 52 51 51 32 45 47 33 44 39 40 59 39 532
1.4 Autoimmune
Anti - Streptolysin O 10 12 12 8 12 13 17 17 12 21 30 15 179
Anti - DNase B 7 10 10 7 5 8 11 14 13 16 24 12 137
Anti - IFN-gamma autoAb 25 28 27 15 24 31 30 31 37 30 25 33 336
2. Cellular Diagnosis
2.1 Lymphocyte subpopulation
CD3 + T cell 13 13 22 16 19 14 15 18 13 11 13 13 180
CD4 + T cell 467 468 573 464 592 445 454 512 402 440 379 372 5,568
CD8 + T cell 21 19 32 37 60 42 56 54 17 17 20 24 399
B cell 13 14 8 14 18 10 13 19 9 13 11 14 156
NK cell 18 23 27 30 22 30 27 36 35 26 31 20 325
Number of patients in 2017, 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 1 0 0 1 1 0 0 0 0 0 3
Anti - Pneumococcal IgG 7 5 13 8 10 21 22 14 22 15 16 9 162
IFN - gamma release assay for TB 26 41 34 26 48 44 37 46 27 43 54 44 470
Phagocytosis (DHR assay) 6 9 6 3 5 5 10 5 11 8 7 6 81
Mitogen stimulation 7 4 8 7 7 1 3 2 1 4 4 1 49
Antigen stimulation 1 3 2 1 1 1 0 1 2 0 2 1 15
IFN - gamma R 2 1 3 4 1 1 2 3 2 1 0 1 21
IL - 12 R 2 1 2 3 1 0 2 3 1 0 0 1 16
3. Molecular diagnosis
HBV viral load 1,051 919 1,018 866 1,140 987 1,043 1,056 1,065 900 1,116 1,061 12,222
HCV viral load 137 118 136 105 121 137 117 133 122 115 121 106 1,468
HCV genotype 27 32 35 20 31 36 32 36 35 30 24 25 363
4. Drug hypersensitivity
LTT 1 type drug 0 1 1 0 0 0 0 1 0 1 0 0 4
LTT 2 type drug 0 0 0 0 2 0 0 0 0 0 0 1 3
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 8,986 8,302 9,562 7,940 9,939 9,486 9,307 9,942 9,244 8,691 9,776 8,634 109,809
Note: 0 refers to operational lab, No test

155
OTHER MEDICAL SERVICES IN 2017
156
Statistics of Department of Anesthesiology
Number of patients services in 2017, classified by unit, Siriraj Hospital
STATISTICAL REPORT 2017

Number of visits
Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Division of Anesthesia 4,090 3,935 4,590 3,546 4,513 4,500 4,136 4,674 4,042 3,913 4,438 3,862 50,239
ICU 77 77 66 55 58 51 52 59 61 66 69 68 759
Pain clinic 550 521 498 563 481 528 571 601 620 525 579 532 6,569
Acute Pain Service (APS) 159 156 142 123 158 166 150 159 178 154 187 154 1,886
SiPAC 547 517 547 436 567 592 557 584 510 526 521 518 6,422
Total 5,423 5,206 5,843 4,723 5,777 5,837 5,466 6,077 5,411 5,184 5,794 5,134 65,875
OTHER MEDICAL SERVICES IN 2017

Number of Anesthesia services in 2017, classified by patient's type


Department of Anesthesiology, Siriraj Hospital

Patient's type Number of visits


In-Patient 36,155
Out-Patient 9,415
Special clinic 4,669
Total 50,239
Elective case 46,714
Emergency case 3,525
Total 50,239

157
STATISTICAL REPORT 2017

Number of Anesthesia Services in 2017, classified by services unit


Department of Anesthesiology, Siriraj Hospital

Number
Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Orthopaedic surgery (ORT) 388 374 462 311 431 401 391 470 379 375 426 314 4,722
Eye surgery (EYE) 110 126 178 120 131 139 101 130 136 123 118 132 1,544
Ear Nose Throat (ENT) 319 327 386 261 359 317 304 352 291 288 269 284 3,757
Cardiovascular Throat surgeon (CVT) 154 135 163 70 142 170 142 159 135 136 146 119 1,671
Neuro division (NEU) 138 130 143 130 164 182 131 170 173 121 148 146 1,776
Plastic division (PLA) 79 72 80 71 92 91 79 86 60 86 97 84 977
Head-Neck and Beast division (HN&B) 162 136 149 107 167 167 156 169 158 127 160 131 1,789
Urology division (URO) 244 238 250 202 314 276 220 269 236 201 277 215 2,942
Pediatric division (PED) 126 112 138 107 150 140 136 140 115 121 138 125 1,548
Vascular division (VAS) 127 128 141 128 144 133 150 152 131 136 148 133 1,651
Hepato-Pancreatic (HPB) 93 62 75 65 82 79 91 96 69 77 106 80 975
Minimally Invasive division (MIS) 139 130 146 125 147 152 119 118 115 112 120 116 1,539
Colorectal division (Colo) 75 101 102 79 94 94 112 140 103 87 99 114 1,200
Trauma division (TRA) 97 79 89 86 105 108 93 82 67 89 98 74 1,067
Obstetrics (OBS) 291 302 337 314 350 335 341 363 355 374 356 316 4,034
Labor room (LR) 5 12 0 6 9 4 5 8 13 5 4 6 77
Gynaecology (GYN) 305 271 309 250 323 340 303 336 308 297 340 268 3,650
Siriraj GI Endoscopy center 837 841 967 771 879 960 871 974 863 811 941 808 10,523
Radiology intervention (RAD) 173 151 224 169 181 192 173 200 147 165 196 172 2,143
Magnetic Resonance Imaging (MRI) 28 29 20 31 34 29 29 41 31 29 31 26 358
Psychiatry (PSY) 46 38 44 43 67 42 46 57 41 27 62 49 562
Dental (DEN) 5 7 8 4 5 7 7 9 5 2 8 5 72
Cardiac Catheterization Lab (Cath Lab) 125 125 167 96 141 138 133 145 102 118 138 131 1,559
Magnetic Resonance Agiography 5 3 3 0 2 0 0 0 5 2 7 4 31
(MRA)
Department of medicine (MED) 14 1 0 0 0 0 0 0 0 0 0 0 15
Pediatric chemo therapy intervention 5 5 9 0 0 4 3 8 4 4 5 10 57
Total 4,090 3,935 4,590 3,546 4,513 4,500 4,136 4,674 4,042 3,913 4,438 3,862 50,239

158
OTHER MEDICAL SERVICES IN 2017

Statistics of Department of Transfusion Medicine


Number of services and working in 2017, classified by working type, Siriraj Hospital

List Unit Number


1. Recruited blood donors donor 74,486
2. Eligible whole blood donors 54,727
2.1 Voluntary blood donors donor 51,707
2.2 Replacement blood donors donor 2,972
2.3 Directed blood donors donor 14
2.4 Autogous blood donors donor 34
3. Mobile blood donation units unit 230
4. Blood unit testing
4.1 Number of donors donor 56,169
4.2 Number of tests tests 168,507
5. Apheresis donation donation 2,387
6. Peripherral blood Stem cells collection donation 232
7. Blood letting case 97
8. Blood component preparation unit 167,574
9. Blood transfusion service
9.1 Requests of blood components request 47,244
9.2 Immunohematology tests test 141,732
9.3 Red cell crossmatching unit 85,158
9.4 Transfusion reaction investigation case 173
9.5 Issuing of blood component time 54,080
10. Transfused blood components
10.1 Whole blood unit 13
10.2 Packed red cell unit 29,774
10.3 Leukocyte poor blood unit 15,539
10.4 Prestorage filtered blood unit 4,582
10.5 Platelet concentrate unit 12,892
10.6 Leukocyte poor platelet concentrate ( 4,351 bags) unit 26,065
10.7 Single donor platelet pheresis ( 2,500 bags) unit 28,093
10.8 Fresh frozen plasma unit 18,521
10.9 Cryoprecipitate unit 22,798

159
STATISTICAL REPORT 2017

Number of services and working in 2017, 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 585
DNA case 677
11.2 HLA Class II typing DNA case 579
11.3 HLA antibody identification
HLA Class I case 677
HLA Class II case 579
11.4 HLA Lymphocyte Separation case 1,936
11.5 Lymphocyte crossmatch
for organ transplant pair 64
for platelet transfusion unit 6,711
11.6 HLA / platelet antibody screening case 146
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
HLA typing tray
- HLA class I (A,B) typing tray (60 well x 2 Tray / kit) kit 350
- HLA B27 typing tray (24 well x 1 Tray / kit) kit 350
1% Papain reagent kit 103
Screen cells for red blood cell screening kit 125
Panel cells for red blood cell identification kit 103
Anti Mia kit 18

160
OTHER MEDICAL SERVICES IN 2017

Statistics of Department of Preventive and Social Medicine


Number of treatment services in 2017, classified by clinic, Siriraj Hospital

Clinic Number
Cardiovascular Disease Prevention Clinic 4,217
Infectious Disease and Immune Deficiency Clinic 11,376
Geriatric Medicine Clinic 4,592
Vaccination Immune Clinic 40,511
Health Services Unit for Staff and Occupational Health 13,726
Student Walfare Unit 9,313
Clinic of Thai Laborer Going Abroad 0
Health Screening and Check-up Clinic 6,058
Health Assessment Clinic for Government Scholars 270
Occupational and Environmental Mendicine Clinic 240
Occupational and Environmental Lung Disease Clinic 1,724

161
162
Statisitcs of Department of Rehabilitation Medicine
Number of Out-patients in 2017, classified by clinic, Siriraj Hospital

Number of out-patients
STATISTICAL REPORT 2017

Clinic Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Rehabilitation clinic 1,897 1,790 2,344 1,780 2,050 2,404 1,964 2,289 1,000 1,875 2,124 1,863 23,380
Acpuncture clinic 1 150 0 0 0 1 0 0 1 0 0 0 153
Foot clinic 88 67 167 163 170 172 133 181 124 137 142 145 1,689
Prosthetic Orthotic clinic 79 31 113 81 96 92 62 76 70 64 86 66 916
Spasticity clinic 28 65 27 24 31 25 30 38 25 41 19 25 378
Electrodiagnosis clinic 76 1,048 95 61 86 130 102 108 97 76 87 83 2,049
Musculoskeletal physical therapy clinic 1,179 131 1,359 964 1,152 1,259 1,011 1,190 1,018 889 994 851 11,997
Pediatric physical clinic 162 449 151 129 140 137 139 154 147 168 181 116 2,073
Occupational therapy clinic 449 144 526 420 545 632 529 603 569 431 492 466 5,806
Speech-Language therapy clinic 194 436 172 139 189 183 171 196 170 150 146 177 2,323
Neuralogical physical clinic 421 2,280 536 419 573 607 556 606 508 417 520 467 7,910
Cardiac rehabilitation clinic 207 43 257 168 201 235 204 176 208 205 222 210 2,336
Rehabilitation counseling clinic 39 22 35 42 54 68 69 70 51 56 65 74 645
Recreational therapy clinic 38 82 55 37 44 64 56 37 45 38 39 42 577
Social welfare 41 300 126 89 97 192 167 237 145 183 173 170 1,920
Hydretherapy clinic 375 60 451 332 379 424 289 425 439 395 441 415 4,425
Number of Out-patients in 2017, classified by clinic, Siriraj Hospital (cont.)
Department of Rehabilitation Medicine, Siriraj Hospital

Number of out-patients
Clinic Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Peripheral circulation unit 7 127 21 12 10 10 5 10 4 4 12 6 228
Special pediatric rehabilitation clinic 53 1 68 64 68 88 75 71 108 71 83 110 860
Pediatric occupational therapy clinic 112 36 144 118 144 153 148 132 126 142 157 125 1,537
Toy library 0 0 0 8 21 10 20 28 33 36 61 30 247
Pediatric spasticity clinic 4 0 3 0 0 1 4 0 6 3 2 0 23
Child developmental clinic 3 0 5 3 0 9 3 1 1 4 0 0 29
Cardiac rehabilitation gym 42 36 56 39 66 53 53 83 55 60 87 98 728
Sirindhorn School of Prosthetics and Orthotics 500 530 631 493 738 682 470 614 508 558 599 523 6,846
Geriatric rehabilitation clinic 0 5 6 5 1 1 2 1 9 9 0 6 45
Myofascial pain clinic 90 85 99 43 53 92 52 86 68 63 71 53 855
Musculoskeletal physical pain clinic 50 43 43 41 41 45 52 38 76 87 90 63 669
Center of Excellent Prothetics and Orthotics 0 11 21 17 17 27 19 23 19 21 26 15 216
Swallowing rehabilitation clinic 0 0 0 0 0 0 0 0 8 17 14 20 59
Total 6,135 7,972 7,511 5,691 6,966 7,796 6,385 7,473 5,638 6,200 6,933 6,219 80,919

163
OTHER MEDICAL SERVICES IN 2017
STATISTICAL REPORT 2017

Number of consultation case in 2017, classified by clinic


Department of Rehabilitation Medicine, Siriraj Hospital

Number of patients
Month Rehabilitation Cardiac rehabilitation
Clinic Clinic
January 266 11
February 225 120
March 317 127
April 236 92
May 276 128
June 324 127
July 249 109
August 249 123
September 274 103
October 286 110
November 279 141
December 326 128
Total 3,307 1,319

164
OTHER MEDICAL SERVICES IN 2017

Statistics of Department of Surgery


Number of operation in 2017, classified by patient's type
Division of Vascular Surgery, Siriraj Hospital

Operation Number
1. Artery surgery
1.1 arterial bypass surgery 51
1.2 arterial thrombo embolectomy 54
1.3 Endovascular Angiography+ Intervention 288
1.4 catheter directed thrombolysis 24
1.5 carotid endarterectomy 23
1.6 limb amputation.
major 60
minor 79
debridement 170
1.7 abdominal aortic aneurysm 113
Open repair AAA 6
EVAR 107
Ruptured 9
Elective 98
2. Vein surgery
2.1 varicose vein surgery/ligation 106
2.2 endovenous laser/radiofrequency(RFA) 66
2.3 deep vein surgery 0
2.4 IVC filter 17
3. End-stage renal failure surgery
3.1 vascular access surgery (DLC, Perm Cath, AVF, AV shunt) 286
3.2 kidney transplantation 0
4. Other surgery 678
5. Death N/A

165
STATISTICAL REPORT 2017

Number of patients in 2017, classified by patient's type


Division of Trauma Surgery, Department of Surgery, Siriraj Hospital

Number of visits
Month Revisitor New visitor Total
Male Female Total Male Female Total Male Female Total
January 1,366 1,186 2,552 1,139 1,179 2,318 2,505 2,365 4,870
February 1,104 1,132 2,236 989 1,078 2,067 2,093 2,210 4,303
March 1,070 1,216 2,286 1,034 1,167 2,201 2,104 2,383 4,487
April 1,174 1,062 2,236 1,012 1,019 2,031 2,186 2,081 4,267
May 1,135 1,227 2,362 1,022 1,118 2,140 2,157 2,345 4,502
June 1,077 1,195 2,272 1,018 1,068 2,086 2,095 2,263 4,358
July 1,200 1,268 2,468 966 1,086 2,052 2,166 2,354 4,520
August 1,076 1,232 2,308 935 1,124 2,059 2,011 2,356 4,367
September 1,137 1,103 2,240 946 1,165 2,111 2,083 2,268 4,351
October 1,187 1,185 2,372 944 1,148 2,092 2,131 2,333 4,464
November 1,069 1,215 2,284 995 1,047 2,042 2,064 2,262 4,326
December 1,208 1,214 2,422 1,056 1,102 2,158 2,264 2,316 4,580
Total 13,803 14,235 28,038 12,056 13,301 25,357 25,859 27,536 53,395

166
OTHER MEDICAL SERVICES IN 2017

Number of operation at Trauma Surgery in 2017, classified by patient's type


Division of Trauma Surgery, Department of Surgery, Siriraj Hospital

Number of visits
Patient's type Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Total patient 112 101 100 97 135 141 111 105 79 100 118 90 1,289
EMERGENCY 32 30 25 18 27 30 18 32 14 25 26 27 304
Revisit 104 83 88 89 119 128 102 92 74 86 105 80 1,150
New patient 8 18 12 8 16 13 9 13 5 14 13 10 139
Major surgery 77 70 73 71 92 99 75 76 59 76 91 63 922
Minor surgery 35 31 27 26 43 42 36 29 20 24 27 27 367
Out -Patient 44 33 33 36 51 45 34 34 18 22 24 28 402
In-Patient 68 68 67 61 84 96 77 71 61 78 94 62 887
ORTHO 21 20 22 21 39 40 18 29 22 43 26 11 312
NEURO 3 3 2 4 0 2 1 6 3 2 4 4 34
FFC. 19 13 13 9 7 8 9 11 8 5 15 8 125
Patient with social welfare 10 4 6 7 12 15 6 5 1 7 18 10 101

167
168
Statistics of Department of Orthopaedic Surgery
Number of out-patients in each month in 2017, classified by unit, Siriraj Hospital
STATISTICAL REPORT 2017

Number of visits
Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Orthopaedic Unit (OPD118) 4,473 4,775 5,606 4,250 5,510 5,275 4,663 5,446 4,704 4,780 5,241 4,532 59,255
Orthopaedic Surgery Follow-up Unit (Fuek-Syamindra) 2,396 2,795 2,973 2,353 2,573 2,914 2,498 2,712 2,722 2,426 2,787 2,500 31,649
Orthopaedic Unit (Trauma Building) 583 618 702 470 577 598 581 638 662 711 676 680 7,496
Division of Sports Medicine (4th Floor, Lottery Building) 965 879 1,142 764 1,105 960 1,003 1,204 1,135 939 1,067 795 11,958
Metabolic Bone disease (MBD Clinic) 84 59 82 57 77 65 91 94 50 44 76 78 857
Physiotherapy Clinic (10th Floor, Chalermphrakiet Building, North) 2,383 2,512 2,954 2,058 2,869 2,982 2,437 3,049 2,560 2,474 3,013 2,617 31,908
Spinal Unit 30 26 20 16 14 11 21 1 19 7 17 11 193
Total 10,914 11,664 13,479 9,968 12,725 12,805 11,294 13,144 11,852 11,381 12,877 11,213 143,316
OTHER MEDICAL SERVICES IN 2017

Statistics of Department of Physiology


Number of laboratory examination in 2017, classified by patient's type
Division of Cardiovascular Physiology, Siriraj Hospital

Number of patients
Month Research Total
IPD OPD
January 0 2 0 2
February 1 3 1 5
March 0 4 1 5
April 1 3 0 4
May 0 0 0 0
June 0 1 1 2
July 2 0 0 2
August 2 1 0 3
September 0 1 0 1
October 0 3 0 3
November 0 0 1 1
December 0 1 0 1
Total 6 19 4 29

169
STATISTICAL REPORT 2017

Statistics of Department of Obstetrics and Gynaecology


Number of patients in each month in 2017, classified by patient's type, Siriraj Hospital

Number of visits
Patient's type Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Out-patients
Obstetrics 6,122 6,123 6,823 5,754 6,662 6,513 6,250 6,389 6,220 5,745 5,968 5,799 74,368
Gynaecology 13,060 12,645 14,322 11,637 14,856 14,191 13,796 14,624 13,972 12,577 14,156 11,968 161,804
Total 19,182 18,768 21,145 17,391 21,518 20,704 20,046 21,013 20,192 18,322 20,124 17,767 236,172
In-patients
Newborn, Infant 475 428 558 537 544 541 552 567 603 603 579 532 6,519
Obstetrics 1,163 1,110 1,293 1,186 834 820 842 828 908 874 854 806 11,518
Gynaecology 424 410 439 400 434 478 452 472 447 406 445 459 5,266
Delivery & Birth
Deliveries 573 540 667 616 669 655 689 687 741 696 687 642 7,862
Live Birth 585 547 681 627 677 665 698 702 746 705 699 653 7,985
Stillbirth 2 2 0 2 3 1 4 4 5 4 4 2 33
Operation
Obstetrics 326 336 389 354 393 373 388 418 399 427 404 361 4,568
Gynaecology 301 271 299 257 313 384 352 381 342 336 391 304 3,931
Total 627 607 688 611 706 757 740 799 741 763 795 665 8,499
PV Examination
OPD 520 539 461 425 595 582 527 599 460 562 586 523 6,379
IPD 41 55 112 43 60 54 50 44 57 47 55 37 655
Procedure
OPD 146 136 138 138 135 141 119 132 143 119 143 130 1,620
IPD 32 44 50 19 41 49 50 43 48 42 53 40 511
Tubal sterilization 34 33 47 50 40 35 45 51 47 55 46 42 525

170
OTHER MEDICAL SERVICES IN 2017

Number of Birth and Neonate in 2017, classified by gender


Department of Obstetrics and Gynaecology, Siriraj Hospital

Birth Neonate
Month
Male Female Total Male Female Total
January 291 296 587 290 295 585
February 264 285 549 262 285 547
March 344 337 681 344 337 681
April 330 299 629 329 298 627
May 371 309 680 369 308 677
June 318 348 666 318 347 665
July 353 349 702 350 348 698
August 351 354 705 349 353 702
September 384 368 752 382 364 746
October 349 360 709 347 358 705
November 363 340 703 360 339 699
December 321 334 655 320 333 653
Total 4,039 3,979 8,018 4,020 3,965 7,985

171
STATISTICAL REPORT 2017

Statistics of Department of Otorhinolaryngology


Number of Out-patients in 2017, classified by clinic, Siriraj Hospital

Clinic Number of visits Average/month


General ear nose throat 58,725 4,894
Special Clinic 26,356 2,196
Total 85,081 7,090

Number of patients at Special clinic in 2017, classified by clinic


Department of Otorhinolaryngology, Siriraj Hospital

Clinic code Clinic name Number of visits


0601 ENT Oncology Clinic 867
0602 Pediatric Otolaryngology Clinic 485
0604 Allergy Clinic 2,889
0606 Voice Clinic 1,112
0607 Neuro-Otology Clinic 5,919
0608 Laryngology Clinic 1,010
0610 Rhinology Clinic 1,469
0614 Speech and Language Clinic 6,558
0615 Rhinology Clinic OPD ENT 503
0616 Swallowing Clinic สม.1 1,092
0617 Snoring Clinic ENT 1,679
0618 Smell & Taste Clinic 264
0619 Botulinum Toxin Clinic 350
0622 Hearing aids fitting Clinic 2,728
Total 26,925

172
OTHER MEDICAL SERVICES IN 2017

Number of patients of Neuro-Otology clinic in 2017


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) 734
Caloric Test 150
Videonystagmography (VNG) 39
Posturography 201
Auditory Brainstem Response bone click (ABR bone click) 137
Auditory Steady State Response (ASSR) 1,007
Auditory Brainstem Response click-tone burst (ABR click-tone burst) 906
Ocular Vestibular Evoked Myogenic Potentials (OVEMP) 137
Cervical Vestibular Evoked Myogenic Potentials (CVEMP) 126
Otoacoustic Emission or Otoacoustic Emission + Auditory Brainstem 2,763
Response Screening (OAE or OAE + ABR Screening)
Subjective Visual Vertical (SVV) 104
Video head impulse test (V-HIT) 230
Electrogustometry (EGM) 18
Total 6,552

173
STATISTICAL REPORT 2017

Number of patients of Audiology room in 2017


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 1,907
Speech Audiometry 1,219
Pure tone Audiometry ; Speech Audiometry 12,118
Tympanometry 1,343
Auditory threshold in speech frequency 112
Aided threshold 193
Audiometry fail 126
Total 17,018

Number of patients of Hearing aide room in 2017


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 673
Hearing aid Use & Care 540
Most comfortable level, Uncomfortable level Measurement (MCL, UCL) 186
Hearing aid Follow-Up 1,726
Functional gain Measurement 341
Real Ear Measurement (REM) 234
Hearing aid Maintenance 317
Hearing aid Consultation 222
Total 4,239

174
OTHER MEDICAL SERVICES IN 2017

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 4,252
2 F80.0 Specified speech articulation disorder 639
3 F84.0 Childhood autism 615
4 H91.9 Hearing loss, unspecified 293
5 R49.8 Other and unspecified voice disturbances 164
6 Q37.9 Unspecified cleft palate with unilateral cleft lip, 162
7 R62.0 Delayed milestone 127
8 F90.0 Disturbance of activity and attention 104
9 F79.9 Unspecified mental retardation, without mention of impairment 97
of behaviour
10 H90.5 Sensorineural hearing loss, unspecified 84

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 5,601
2 93.75 Other speech training and therapy 211
3 93.73 Esophageal speech training 22

175
STATISTICAL REPORT 2017

Number of patients of Allergy Clinic in 2017, 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) 292
Intradermal Test (ID Test) 137
Specific Immunotherapy (SIT) 1,074
Follow-Up 1,171
Rhinomanometry (RMM) 68
Acoustic Rhinometry (ARM) 66
Taste test 46
Smell test 117
Smell & Taste test 250
Spirometer ; Pulmonary Function Test 41
Total 3,262

Number of out-patients in 2017, classified by age and gender


Department of Otorhinolaryngology, Siriraj Hospital

Number of patient (person)


Age Total
Male Female
0-15 2,357 (58%) 1,708 (42%) 4,065
16-35 1,633 (36%) 2,919 (64%) 4,552
36-60 3,570 (32%) 7,587 (68%) 11,157
> 60 4,276 (40%) 6,481 (60%) 10,757
Total 11,836 (39%) 18,695 (61%) 30,531

176
OTHER MEDICAL SERVICES IN 2017

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 13,911
2 J30.4 Allergic rhinitis, unspecified 8,591
3 H90.3 Sensorineural hearing loss, bilateral 6,136
4 K21.9 Gastro-oesophageal reflux disease without oesophagitis 5,893
5 H61.2 Impacted cerumen 5,356
6 G47.3 Sleep apnoea 5,142
7 J32.9 Chronic sinusitis, unspecified 4,718
8 H90.4 Sensorineural hearing loss, unilateral with unrestricted hearing 4,059
on the contralateral side
9 E04.1 Nontoxic single thyroid nodule 4,023
10 H65.4 Other chronic nonsuppurative otitis media 3,794
11 J33.9 Nasal polyp, unspecified 3,593
12 C73 Malignant neoplasm of thyroid gland 3,558
13 H93.1 Tinnitus 3,433
14 R42 Dizziness and giddiness 3,217
15 H72.9 Perforation tympanic membrane, unspecified 3,059
16 H91.2 Sudden idiopathic hearing loss 3,001
17 C11.9 Malignant neoplasm of nasopharynx, unspecified 2,904
18 J00 Acute nasopharyngitis [common cold] 2,445
19 C77.0 Malignant neoplasm of lymph nodes of head, face and neck 2,406
20 J02.9 Acute pharyngitis, unspecified 2,343

177
STATISTICAL REPORT 2017

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 13,977
2 21.21 Rhinoscopy 6,373
3 93.74 Speech defect training 5,638
4 96.52 Irrigation of ear 4,892
5 31.42 Laryngoscopy and other tracheoscopy 3,443
6 95.46 Other auditory and vestibular function tests 3,186
7 97.23 Replacement of tracheostomy tube 2,841
8 99.12 Immunization for allergy 1,089
9 18.11 Otoscopy 1,018
10 31.41 Tracheoscopy through artificial stoma 729
11 95.48 Fitting of hearing aid 679
12 42.23 Other esophagoscopy 570
13 06.11 Closed [percutaneous] [needle] biopsy of thyroid gland 459
14 88.71 Diagnostic ultrasound of head and neck 447
15 97.21 Replacement of nasal packing 423
16 40.11 Biopsy of lymphatic structure 407
17 31.0 Injection of larynx 340
18 93.75 Other speech training and therapy 295
19 20.94 Injection of tympanum 291
20 97.89 Removal of other therapeutic device 275

178
OTHER MEDICAL SERVICES IN 2017

Number of in-patients in 2016, classified by ward


Department of Otorhinolaryngology, Siriraj Hospital

Month Special Ward General Ward Total


January 101 166 267
February 99 191 290
March 125 213 338
April 94 161 255
May 103 186 289
June 100 188 288
July 84 191 275
August 95 202 297
September 80 204 284
October 93 149 242
November 97 143 240
December 103 176 279
Total 1,174 2,170 3,344

Number of in-patients in 2017, classified by age and gender


Department of Otorhinolaryngology, Siriraj Hospital

Number of patient (person)


Age Total
Male Female
0-15 335 (59%) 234 (41%) 569
16-35 161 (44%) 208 (56%) 369
36-60 424 (42%) 577 (58%) 1,001
> 60 421 (53%) 368 (47%) 789
Total 1,341 (49%) 1,387 (51%) 2,728

179
STATISTICAL REPORT 2017

Number of in-patients in 2017, classified by patient's type


Department of Otorhinolaryngology, Siriraj Hospital

Month Tumor General ENT Total


January 75 (28%) 192 (72%) 267
February 98 (34%) 192 (66%) 290
March 104 (31%) 234 (69%) 338
April 70 (27%) 185 (73%) 255
May 88 (30%) 201 (70%) 289
June 79 (27%) 209 (73%) 288
July 77 (28%) 198 (72%) 275
August 84 (28%) 213 (72%) 297
September 81 (29%) 203 (71%) 284
October 85 (35%) 157 (65%) 242
November 76 (32%) 164 (68%) 240
December 93 (33%) 186 (67%) 279
Total 1,010 (30%) 2,334 (70%) 3,344

180
OTHER MEDICAL SERVICES IN 2017

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 232
2 C73 Malignant neoplasm of thyroid gland 194
3 J35.0 Chronic tonsillitis 130
4 H65.4 Other chronic nonsuppurative otitis media 118
5 J39.8 Other specified diseases of upper respiratory tract 111
6 E04.1 Nontoxic single thyroid nodule 104
7 D14.1 Benign neoplasm of larynx 101
8 J95.5 Postprocedural subglottic stenosis 87
9 D11.0 Benign neoplasm of parotid gland 83
10 H66.3 Other chronic suppurative otitis media 80
11 C32.0 Malignant neoplasm of glottis 76
12 E04.2 Nontoxic Multinodular goitre 62
13 Z43.0 Attention to tracheostomy 61
14 J33.8 Other polyp of sinus 61
15 B44.8 Other forms of aspergillosis 60
16 C02.11 Malignant neoplasm of lateral border of tongue 58
17 J38.0 Paralysis of vocal cords and larynx 57
18 J38.3 Other diseases of vocal cords 50
19 J38.6 Stenosis of larynx 47
20 C12 Malignant neoplasm of pyriform sinus 40

181
STATISTICAL REPORT 2017

Number of operations in the operating theater on the 4th floor of Syamindra Building in 2017
Classified by type of anesthesia, Department of Otorhinolaryngology, Siriraj Hospital

Number of operations
Month
Major Operation Minor Operation Total
January 305 114 419
February 298 95 393
March 318 126 444
April 224 86 310
May 325 93 418
June 309 97 406
July 269 99 368
August 309 129 438
September 291 71 362
October 265 74 339
November 233 89 322
December 243 84 327
Total 3,389 1,157 4,546

182
Number of operations in the operating room in 2017
Classified by key performance index list, Department of Otorhinolaryngology, Siriraj Hospital

Number of operations
Month Panendoscopy Endoscopic Tonsillectomy Thyroid lobectomy Tympanoplasty Stepedectomy Parotidectomy and Complete Total
Sinus Surgery lobectomy Submandibular extirpation thyroidectomy
January 4 12 22 15 5 2 10 10 80
February 6 17 25 15 5 2 14 18 102
March 2 13 24 10 5 1 7 11 73
April 5 21 28 15 5 1 12 7 94
May 10 27 26 21 8 3 6 12 113
June 6 15 29 23 9 6 9 12 109
July 3 15 15 16 11 4 10 9 83
August 18 15 32 14 5 5 15 24 128
September 8 26 24 14 8 2 14 14 110
October 9 23 28 13 4 1 12 13 103
November 8 18 34 18 2 2 10 11 103
December 11 13 28 17 7 0 9 11 96
Total 90 215 315 191 74 29 128 152 1,194

183
OTHER MEDICAL SERVICES IN 2017
STATISTICAL REPORT 2017

Top twenty diseases in the operation on the 4th floor of Syamindra Building in 2017
Department of Otorhinolaryngology, Siriraj Hospital

Order ICD-10 Description Number of visits


1 Z43.0 Attention to tracheostomy 486
2 J35.3 Hypertrophy of tonsils with hypertrophy of adenoids 220
3 E04.1 Nontoxic single thyroid nodule 189
4 * Tracheal stenosis 186
5 C73 Malignant neoplasm of thyroid gland 159
6 H65.4 Other chronic nonsuppurative otitis media 151
7 * Prolong intabation 149
8 J32.0 Chronic maxillary sinusitis 130
9 D14.1 Benign neoplasm of larynx 113
10 J95.5 Postprocedural subglottic stenosis 99
11 J35.0 Chronic tonsillitis 91
12 D11.0 Benign neoplasm of parotid gland 78
13 G47.3 Sleep apnoea 76
14 R59.0 Localized enlarged lymph nodes 76
15 J34.8 Other specified disorders of nose and nasal sinuses 63
16 C32.0 Malignant neoplasm of glottis 63
17 H66.3 Other chronic suppurative otitis media 63
18 J38.0 Paralysis of vocal cords and larynx 60
19 J38.6 Stenosis of larynx 50
20 H72.0 Central perforation of tympanic membrane 47

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

184
OTHER MEDICAL SERVICES IN 2017

Top twenty procedures in the operation on the 4th floor of Syamindra Building in 2017
Department of Otorhinolaryngology, Siriraj Hospital

Order ICD-9-CM Description Number of visits


1 97.23 Replacement of tracheostomy tube 2,067
2 31.42 Laryngoscopy and other tracheoscopy 416
3 31.1 Temporary tracheostomy 272
4 33.22 Fiber-optic bronchoscopy 236
5 28.3 Tonsillectomy with adenoidectomy 224
6 00.94 Intra-operative neurophysionlogic monitoring 207
7 06.2 Unilateral thyroid lobectomy 192
8 30.09 Other excision or destruction of lesion or tissue of larynx 183
9 20.01 Myringotomy with insertion of tube 182
10 22.2 Intranasal antrotomy 176
11 06.4 Complete thyroidectomy 163
12 42.23 Other esophagoscopy 137
13 31.92 Lysis of adhesions of trachea or larynx 117
14 28.2 Tonsillectomy without adenoidectomy 116
15 19.4 Myringoplasty 114
16 22.63 Ethmoidectomy 112
17 33.23 Other bronchoscopy 112
18 31.0 Injection of larynx 106
19 31.43 Closed [endoscopic] biopsy of larynx 92
20 26.31 Partial sialoadenectomy 85

Number of medical services in the operation on the 4th floor of Syamindra Building in 2017
Classified by age and gender, Department of Otorhinolaryngology, Siriraj Hospital
Number of patient (person)
Age Total
Male Female
0-15 392 (60%) 264 (40%) 656
16-35 222 (46%) 257 (54%) 479
36-60 517 (43%) 672 (57%) 1,189
> 60 491 (53%) 432 (47%) 923
Total 1,622 (50%) 1,625 (50%) 3,247

185
STATISTICAL REPORT 2017

Statistics of Department of Medicine


Number of discharged patients in 2017, classified by patients ward, Siriraj Hospital

Number of discharged patients (visits)


Month Total
Special ward General ward ICU ward
January 544 655 44 1,243
February 554 687 48 1,289
March 666 764 49 1,479
April 585 641 50 1,276
May 642 692 69 1,403
June 658 689 69 1,416
July 666 670 53 1,389
August 713 685 65 1,463
September 702 661 52 1,415
October 662 671 43 1,376
November 708 682 49 1,439
December 727 677 66 1,470
Total 7,827 8,174 657 16,658

186
OTHER MEDICAL SERVICES IN 2017

Statistics of Center of Applied Thai Traditional Medicine


Number of patients diagnose of Thai traditional medicine in 2017, Siriraj Hospital

Number of visits
Month
Offical work hours Outside of office hours Total
January 1,864 2,129 3,993
February 1,944 1,980 3,924
March 2,449 2,510 4,959
April 1,742 2,293 4,035
May 2,229 2,440 4,669
June 2,710 2,188 4,898
July 2,041 2,476 4,517
August 2,300 1,816 4,116
September 2,236 2,592 4,828
October 1,638 2,038 3,676
November 1,622 1,972 3,594
December 1,452 1,681 3,133
Total 24,227 26,115 50,342

187
STATISTICAL REPORT 2017

Number of services of Siriraj Sappaya-sthana for health promotion in 2017


Center of Applied Thai Traditional Medicine, Siriraj Hospital

Number of services (visits)


Common services Special services
Month
Official work Outside of Official work Outside of
Total Total
hours office hours hours office hours
January 143 289 432 50 84 134
February 169 342 511 28 39 67
March 226 414 640 44 38 82
April 124 300 424 21 36 57
May 163 325 488 15 26 41
June 298 411 709 36 41 77
July 169 292 461 15 35 50
August 219 274 493 34 48 82
September 160 255 415 17 21 38
October 163 233 396 32 18 50
November 143 232 375 24 27 51
December 172 236 408 22 26 48
Total 2,149 3,603 5,752 338 439 777

188
OTHER MEDICAL SERVICES IN 2017

Number of production and pharmaceutical distribution and Herbal products in 2017


Center of Applied Thai Traditional Medicine, Siriraj Hospital

Number of distribution
Number of productivity
Month Ayuravedic clinic Other
Powders (kg.) Product (kg.) Powders (kg.) Product (kg.) Powders (kg.) Product (kg.)
January 319.790 921.173 3.440 311.710 0.000 189.156
February 426.522 1,130.858 3.680 239.379 0.000 111.254
March 315.939 658.280 4.400 338.205 0.000 229.112
April 240.080 993.680 3.160 315.382 0.000 96.530
May 193.391 853.333 0.640 429.237 0.000 238.522
June 502.788 1,469.320 0.000 327.069 0.000 87.465
July 1,337.705 803.306 0.000 273.841 0.000 81.900
August 628.790 805.051 0.000 361.728 0.000 166.345
September 519.790 1,349.093 0.000 435.669 40.000 186.411
October 329.122 1,012.876 7.995 470.975 0.000 119.225
November 151.216 417.866 4.165 436.624 0.000 169.410
December 327.800 741.852 0.880 337.825 0.000 143.002
Total 5,292.933 11,156.688 28.360 4,277.644 40.000 1,818.332

189
190
Statistics of Sirindhorn School of Prosthetics and Orthotics
Number of devices with produce for patients of Prosthetics and Orthotics Clinic in 2017, Siriraj Hospital

Number of devices
STATISTICAL REPORT 2017

Product Information Count Total


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Partial foot prosthesis (PF) Side 2 0 0 2 0 0 0 3 0 4 1 3 15
Ankle disarticulation and Syme prosthesis (AD/Syme) Side 0 4 0 4 1 0 1 1 1 1 2 0 15
Below knee prosthesis (BK) Side 13 12 7 13 22 10 13 1 11 10 10 7 129
Knee disarticulation prosthesis (KD) Side 0 3 0 0 1 0 0 0 0 0 1 0 5
Above knee prosthesis (AK) Side 6 3 2 7 7 6 6 1 8 4 4 1 55
Hip disarticulation prosthesis (HD) Side 2 0 0 0 0 1 0 0 0 0 0 1 4
Proximal Femoral Focal Deficiency prosthesis (PFFD) Side 0 0 3 0 1 1 1 2 2 1 0 0 11
Shoulder disarticulation prosthesis (SD) Side 0 0 0 0 1 0 0 0 0 0 0 0 1
Cosmetic above elbow prosthesis (AE/C) Side 0 0 0 0 0 1 1 0 0 0 0 1 3
Cosmetic below elbow prosthesis (BE/C) Side 2 0 1 1 3 3 1 1 0 2 1 0 15
Functional below elbow prosthesis (BE/F) Side 0 0 0 0 0 0 0 0 1 0 0 0 1
Hook below elbow prosthesis (BE/H) Side 0 0 0 0 2 0 0 0 0 0 1 1 4
Cosmetic gloves Side 1 2 1 0 4 2 1 0 1 0 3 0 15
Hybrid hip orthosis (HO/H) Side 1 2 3 1 1 2 1 0 4 1 3 3 22
Hip knee ankle foot orthosis with drop ring lock (HKAFO) Set 0 2 1 3 6 7 3 3 0 2 0 2 29
Conventional knee ankle foot orthosis with drop ring lock Side 0 4 5 1 5 2 0 0 2 1 8 0 28
(KAFO/C)
Number of devices with produce for patients of Prosthetics and Orthotics Clinic in 2017 (cont.)
Sirindhorn School of Prosthetics and Orthotics, Siriraj Hospital

Number of devices
Product Information Count Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Plastic knee ankle foot orthosis with drop ring lock (KAFO/P) Side 7 5 0 0 1 4 0 0 3 2 3 0 25
Conventional knee orthosis (KO/C) Side 0 1 1 1 2 0 0 0 0 0 1 1 7
Plastic knee orthosis (KO/P) Side 0 2 0 0 0 0 0 0 2 0 0 2 6
Hybrid knee orthosis (KO/H) Side 0 0 0 2 0 0 0 1 0 0 0 0 3
Plastic ankle foot orthosis (AFO/P) Side 38 29 12 33 38 50 21 33 24 29 31 32 370
Conventional ankle foot orthosis (AFO/C) Side 7 7 9 4 10 0 1 6 9 0 11 5 69
Dennis Brown Bar Pair 1 8 2 1 4 2 0 2 1 1 3 2 27
Total contact orthosis (TCO) Side 75 68 95 88 93 93 61 108 78 70 97 70 996
Plastic foot orthosis (UCBL) Side 4 1 2 10 7 4 4 0 0 4 3 10 49
Cervical Orthosis (CO) Piece 0 0 0 0 0 0 0 0 0 0 0 1 1
Plastic Wrist hand orthosis (WHO/P) Side 0 0 0 1 0 0 2 2 0 0 0 0 5
Spinal orthosis (SO) Set 7 3 13 10 9 14 2 6 5 9 11 7 96
Supramalleola orthosis (SMO) Side 0 4 4 0 0 0 0 0 0 4 3 2 17
Orthopedic shoes Pair 23 34 47 34 36 33 18 29 26 24 31 28 363
Repair Side 90 109 156 99 126 118 82 125 85 156 129 116 1,391
Seating Set 3 2 2 5 5 3 2 5 4 3 3 4 41
Total 282 305 366 320 385 356 221 329 267 328 360 299 3,818

191
OTHER MEDICAL SERVICES IN 2017
STATISTICAL REPORT 2017

Number of patients at Prosthetics and Orthotics Clinic in 2017


Sirindhorn School of Prosthetics and Orthotics, Siriraj Hospital

Month Number
January 494
February 525
March 605
April 485
May 708
June 651
July 458
August 585
September 482
October 537
November 607
December 515
Total 6,652

192
OTHER MEDICAL SERVICES IN 2017

Statistics of Her Majesty Cardiac Center


Number of out-patients in 2017, Classified by unit of treatment service, Siriraj Hospital

Unit of treatment service


Month Cardiovascular Cardiovascular Special Magnetic Resonance Heart Clinic Total
Intervention Intervention Imaging Room
January 341 1,558 215 761 2,875
February 392 1,545 171 767 2,875
March 468 1,768 193 861 3,290
April 318 1,399 45 659 2,421
May 372 1,730 0 851 2,953
June 426 1,651 56 829 2,962
July 369 1,546 181 730 2,826
August 444 1,783 200 859 3,286
September 384 1,417 197 780 2,778
October 363 1,659 159 797 2,978
November 389 1,950 188 976 3,503
December 348 1,469 185 822 2,824
Total 4,614 19,475 1,790 9,692 35,571

193
194
Number of out-patients of Cardiovascular Intervention in 2017
Classified by month, Her Majesty Cardiac Center, Siriraj hospital

Number of out-patients (person)


STATISTICAL REPORT 2017

Total
List Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Total

Elective
1. Coronary artery 144 58 144 85 192 88 119 92 122 79 171 94 131 91 183 85 164 101 138 76 139 81 123 68 1,770 998 2,768
2. Peripheral artery 5 3 2 1 11 5 0 1 3 3 5 3 2 7 6 4 1 3 3 2 6 3 7 0 51 35 86
3. EP 21 6 23 12 30 6 22 4 18 13 29 13 27 6 23 7 20 2 23 5 34 4 23 4 293 82 375
4. Pacmaker 34 7 36 11 36 12 25 3 44 10 27 3 33 7 25 9 22 8 37 7 40 7 35 2 394 86 480
5. Pedaitric 27 3 30 3 38 5 21 2 37 2 34 1 28 3 44 2 26 0 31 5 33 5 37 5 386 36 422
6. PBMV 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 6
7. EMBX 7 0 11 0 10 0 5 0 4 0 9 0 4 0 3 0 7 0 7 0 8 0 6 0 81 0 81
8. Cardioversion 3 0 3 0 2 0 3 0 3 0 5 0 1 0 3 0 3 0 1 0 5 0 5 0 37 0 37
9. TEE/TTE 2 0 4 0 3 0 4 0 8 0 8 0 4 0 9 0 3 0 4 0 4 0 9 0 62 0 62
10. Fluroscopy 4 0 2 0 3 0 0 0 4 0 4 0 1 0 7 0 1 0 2 0 4 0 2 0 34 0 34
Total 248 77 256 112 326 116 200 102 244 107 293 114 231 114 303 107 247 114 246 95 273 100 247 79 3,114 1,237 4,351

Note:
1. Clinic (08:30-16:30)
2. After hours Clinic (From 16:30 pm. onwards)
Number of out-patients of Cardiovascular Intervention in 2017 (cont.)
Classified by month, Her Majesty Cardiac Center, Siriraj hospital

Number of out-patients (person)


Total
List Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Clin. Spec. Total

Emergency
1. Emergency Pedaitric 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 2 1 3
(Coronary artery)
2. Emergency Adult 4 12 15 9 11 15 10 6 7 14 4 15 8 15 18 16 4 19 8 14 8 6 9 13 106 154 260
(Coronary artery)
Total 4 12 15 9 11 15 10 6 7 14 4 15 8 16 18 16 4 19 8 14 10 6 9 13 108 155 263
Grand total 252 89 271 121 337 131 210 108 251 121 297 129 239 130 321 123 251 133 254 109 283 106 256 92 3,222 1,392 4,614

Note:
1. Clinic (08:30-16:30)
2. Special Clinic (From 16:00 pm. onwards)

195
OTHER MEDICAL SERVICES IN 2017
STATISTICAL REPORT 2017

Number of out-patients of Heart Clinic in 2017


Classified by month, Her Majesty Cardiac Center, Siriraj Hospital

Number of patients
Clinic Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
A. pace. 430 394 425 341 480 433 401 456 363 428 516 393 5,060
PCI clinic 104 160 174 157 128 147 96 160 196 126 135 199 1,782
GUCH 102 90 117 61 94 110 85 91 79 99 115 90 1,133
P. pace 23 21 8 18 33 23 19 24 20 26 41 23 279
Pre cath 14 19 25 21 15 18 12 21 23 17 21 19 225
HF 58 54 79 43 76 68 81 73 74 48 100 58 812
Arrhythmia 30 29 33 18 25 30 34 28 24 33 35 19 338
IDO 0 0 0 0 0 0 0 0 0 17 13 20 50
STEMI 0 0 0 0 0 0 2 6 1 3 0 1 13
Total 761 767 861 659 851 829 730 859 780 797 976 822 9,692

Note: 1.STEMI start collecting data. From July 2560, November 2560 no case

196
Number of out-patients of Cardiovascular Special Intervention in 2018
Classified by month, Her Majesty Cardiac Center, Siriraj Hospital

Number of out-patients (person)


Total
List Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Total

Adult
1. TTE 389 328 410 323 489 314 332 329 443 356 399 372 446 302 490 308 375 257 410 341 489 359 367 283 5,039 3,872 8,911
2. TEE 27 6 34 2 34 1 26 8 40 3 33 3 33 3 34 2 44 5 31 3 37 4 15 6 388 46 434
3. EST 62 110 59 105 66 102 55 93 74 129 64 137 59 114 73 121 57 133 60 101 73 146 59 97 761 1,388 2,149
4. DSE 7 0 18 0 10 0 17 0 12 0 18 0 18 0 22 0 22 0 15 0 25 0 20 0 204 0 204
5. TTT 8 0 13 0 12 0 13 0 12 0 11 0 12 0 11 0 13 0 11 0 10 0 9 0 135 0 135
6. ExSE 3 0 6 0 7 0 7 0 6 0 7 0 9 0 10 0 10 0 8 0 16 0 12 0 101 0 101
7. Bike 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 0 3
8. Holter 92 24 78 31 86 33 50 22 70 38 59 41 50 31 74 37 79 46 80 75 115 96 86 70 919 544 1,463
9. EKG 147 8 145 11 188 12 118 13 132 14 138 22 130 14 168 10 99 12 109 6 139 9 106 14 1,619 145 1,764
10. Follow up 22 0 27 0 34 0 17 0 30 0 28 0 29 0 36 0 24 0 25 0 25 0 22 0 319 0 319
11. 6 MWT 1 0 4 0 4 0 5 0 0 0 1 0 4 0 0 0 5 0 0 0 0 0 2 0 26 0 26
Total 760 476 794 472 930 462 640 465 819 540 758 575 791 464 918 478 728 453 749 526 929 614 698 470 9,514 5,995 15,509

Note: 1. Clinic (08:30-16:30)


2. After hours Clinic (From 16:30 pm. onwards)

197
OTHER MEDICAL SERVICES IN 2017
198
Number of out-patients of Cardiovascular Special Intervention in 2017 (cont.)
Classified by month, Her Majesty Cardiac Center, Siriraj Hospital

Number of out-patients (person)


STATISTICAL REPORT 2017

Total
List Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Clinic After Total

Pediatric
1. TTE 203 88 166 83 240 108 178 82 218 114 222 80 189 73 245 106 159 60 242 89 257 108 194 59 2,513 1,050 3,563
2. TEE 0 0 0 1 0 1 0 1 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 6 6
3. EST 3 2 4 1 8 1 5 0 5 0 1 0 2 0 6 13 4 0 13 1 4 0 12 0 67 18 85
4. TTT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 5 0 5
5. Fetal Echo 2 1 1 1 1 1 2 1 0 4 1 5 1 0 1 2 2 1 0 3 0 1 1 3 12 23 35
6. Holter 3 3 3 2 1 3 11 0 4 0 2 0 9 3 2 1 1 2 9 6 2 6 1 57 17 74
7. EKG 9 3 12 1 8 1 14 0 24 0 4 0 5 1 7 3 3 4 23 2 17 7 22 2 148 24 172
8. Follow up 2 0 2 0 2 0 0 0 1 0 1 0 5 0 0 0 0 0 2 0 0 0 1 0 16 0 16
9. 6 MWT 3 0 2 0 1 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 10 0 10
Total 225 97 190 89 261 115 210 84 253 118 231 87 214 77 261 126 169 67 289 95 289 118 236 65 2,828 1,138 3,966
Grand total 985 573 984 561 1,191 577 850 549 1,072 658 989 662 1,005 541 1,179 604 897 520 1,038 621 1,218 732 934 535 12,342 7,133 19,475

Note: 1. Clinic (08:30-16:30)


2. After hours Clinic (From 16:30 pm. onwards)
Number of patient of Magnetic Resonance Imaging Room in 2017
Classified by month, Her Majesty Cardiac Center, Siriraj Hospital
Number of out-patients (person)
Procedure MRI Jan Feb Mar Apr May Jun Jul
Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward
1. Cangenital 1 0 0 1 0 0 3 1 0 0 0 0 1 1 0 5 5 0
2. Dobutamine 1 1 0 4 0 0 3 1 0 0 0 0 1 0 0 2 6 0
3. Ischemia 44 71 2 43 78 0 44 83 1 14 19 0 21 15 0 47 73 0
4. Ischemia+ Corona MRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0
5. MRA Coronary 32 1 2 2 1 0 2 3 0 0 0 0 5 0 0 2 0 0
6. Thalassemia 34 0 0 22 2 0 30 5 0 1 5 0 1 0 0 6 7 0
7. ARVD 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
8. ASD 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
9. Aorta 1 4 0 1 3 2 2 1 0 1 0 0 0 0 0 1 4 0
10. Function 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11. Viability 8 7 1 4 3 0 3 3 1 0 1 0 0 1 0 5 2 0
12. VSD 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
13. Project 2419 2 0 0 0 0 0 0 0 0 0 0 0 5 0 0 7 0 0
14. Project Belive 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15. TOF post op 2 1 0 4 0 0 4 0 0 2 0 0 1 0 0 2 1 0
16. MRA PA 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
Since 7 April 2560 the drug on June 19, 2560.

17. MRA Renal 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0


18. Lower extremility 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
19. MRI Belive 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0
Closed MRI machine to accommodate the installation of a new machine3.0T.

20. Whole Aorta 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0


21. MRI Renal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22. MRI ARVD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23. RAS MRI Renal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

199
OTHER MEDICAL SERVICES IN 2017
200
Number of patient of Magnetic Resonance Imaging Room in 2017 (cont.)
Classified by month, Her Majesty Cardiac Center, Siriraj Hospital
Number of out-patients (person)
Total
Procedure MRI Aug Sep Oct Nov Dec
STATISTICAL REPORT 2017

Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Total
1. Cangenital 4 2 0 3 0 0 2 2 0 2 2 1 2 1 0 24 14 1 39
2. Dobutamine 0 1 0 1 2 0 2 4 0 0 3 0 1 2 0 15 20 0 35
3. Ischemia 51 78 1 50 87 0 39 71 1 44 76 1 0 0 0 397 651 6 1,054
4. Ischemia+ Corona MRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 3
5. MRA Coronary 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 5 2 50
6. Thalassemia 27 8 0 15 8 0 14 3 0 21 5 0 34 3 0 205 46 0 251
7. ARVD 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 3
8. ASD 0 3 0 0 4 0 0 0 0 2 1 0 0 0 0 3 8 0 11
9. Aorta 1 0 0 1 0 0 0 1 0 0 6 0 1 2 0 9 21 2 32
10. Function 1 0 0 1 0 0 1 2 1 0 1 0 1 1 0 4 4 1 9
11. Viability 4 2 0 14 0 1 3 1 0 6 4 1 2 6 2 49 30 6 85
12. VSD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
13. Project 2419 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 16 0 0 16
14. Project Belive 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 2
15. TOF post op 3 0 0 1 0 0 4 1 0 4 0 0 5 1 1 32 4 1 37
16. MRA PA 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 3 1 0 4
17. MRA Renal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
18. Lower extremility 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
19. MRI Belive 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3
20. Whole Aorta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
21. MRI Renal 0 2 0 0 0 0 0 1 0 0 0 0 0 1 0 0 4 0 4
22. MRI ARVD 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 1 0 7
23. RAS MRI Renal 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 2
Number of patient of Magnetic Resonance Imaging Room in 2017 (cont.)
Classified by month, Her Majesty Cardiac Center, Siriraj Hospital
Number of out-patients (person)
Procedure MRI Jan Feb Mar Apr May Jun Jul
Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward
24. MRI Ishemia coronary MRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25. MRI Ischemia+ MRA corornary 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26. MRI VSD+ coronary MRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27. MRI for Liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28. MRI Ishemia+ Aorta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29. MRI Ishemia+ Anyloidosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30. MRI Viability+ coronary MRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31. MRI FOF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32. MRI Thalussemia (Liver) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33. MRI Ischemia+ viability 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0
34. MRI Dobutamone + viability 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35. MRI Anatomy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36. MRI Ischemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Since 7 April 2560 the drug on June 19, 2560.

37. MRI Function+ MRV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


38. MRI TOF post op+ congental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39. Pre-op kt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Closed MRI machine to accommodate the installation of a new machine3.0T.

40. Case off 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


Total 125 85 5 0 82 87 2 0 92 98 3 0 18 27 0 0 0 0 0 0 39 17 0 0 79 102 0

201
OTHER MEDICAL SERVICES IN 2017
202
Number of patient of Magnetic Resonance Imaging Room in 2017 (cont.)
Classified by month, Her Majesty Cardiac Center, Siriraj Hospital
Number of out-patients (person)
Total
Procedure MRI Aug Sep Oct Nov Dec
STATISTICAL REPORT 2017

Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Clinic After ward Total
24. MRI Ishemia coronary MRA 0 0 0 0 0 0 1 0 1 0 2 1 0 0 0 1 2 2 5
25. MRI Ischemia+ MRA corornary 1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 3
26. MRI VSD+ coronary MRA 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 3 0 3
27. MRI for Liver 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1
28. MRI Ishemia+ Aorta 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1
29. MRI Ishemia+ Anyloidosis 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 2
30. MRI Viability+ coronary MRA 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1
31. MRI FOF 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1
32. MRI Thalussemia (Liver) 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1
33. MRI Ischemia+ viability 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 3
34. MRI Dobutamone + viability 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1
35. MRI Anatomy 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 0 2 3
36. MRI Ischemia 0 0 0 0 0 0 0 0 0 0 0 0 39 68 0 39 68 0 107
37. MRI Function+ MRV 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 1 2 0 3
38. MRI TOF post op+ congental 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1
39. Pre-op kt 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
40. Case off 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 2
Total 98 101 1 0 88 108 1 0 70 86 3 0 84 100 4 0 93 86 6 0 868 897 25 1,790
Note: 1. Clinic (08:30-16:30)
2. After hours Clinic ( From 16:30 pm. onwards)
3. Ward : Pediatrics Bldg 5th, 6th floor., Anandamahidol Building 7th floor , Atsadang Building 12th floor
4. Closed MRI machine to accommodate the installation of a new machine3.0T. Since 7 April 2560 the drug on June 19, 2560.
OTHER MEDICAL SERVICES IN 2017

Number of in-patients in 2017, classified by ward


Her Majesty Cardiac Center, Siriraj Hospital

Ward
Month Post-Intermediate ward Intermediate Cardiac Total
(5th floor) (8ward
th
floor)
January 58 205 263
February 63 240 303
March 74 287 361
April 51 225 276
May 71 235 306
June 77 268 345
July 79 259 338
August 98 275 373
September 71 260 331
October 62 240 302
November 68 263 331
December 66 219 285
Total 838 2,976 3,814

203
204
Number of in-patients of post-Intermediate ward (5th floor) in 2017
Classified by service unit, Her Majesty Cardiac Center, Siriraj Hospital
Number of patients
Service Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
STATISTICAL REPORT 2017

ACS* 3 4 7 7 2 2 4 3 2 3 2 2 41
PCI/CAG* 17 16 19 13 19 17 10 21 11 12 12 8 175
RFCA/Device* 0 1 0 0 0 2 3 0 1 2 0 3 12
Pediatrics 1 0 0 0 0 0 0 0 1 0 0 0 2
Post-Intermediate ward (5th floor) 22 20 23 20 22 28 25 34 22 25 27 24 292
OR Syamindra (5th floor) 9 15 12 4 13 17 22 20 19 10 18 23 182
Other ward 3 5 7 3 7 5 11 11 6 5 5 5 73
Other 3 2 6 4 8 6 4 9 9 5 4 1 61
Total 58 63 74 51 71 77 79 98 71 62 68 66 838
Note: " * " from Cardiovascular Intervention
Number of in-patients of Intermediate Cardiac ward (8th floor) in 2017
Classified by month, Her Majesty Cardiac Center, Siriraj Hospital
Number of patients
Service Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ACS* 2 0 1 0 0 0 1 0 0 2 1 1 8
PCI/CAG* 129 179 205 166 148 204 176 204 194 175 182 157 2,119
RFCA/Device* 45 45 53 36 56 35 48 48 35 36 44 35 516
Pediatrics 9 3 12 6 13 10 4 4 8 10 11 10 100
Post-Intermediate ward (5th floor) 13 12 14 13 16 15 24 15 19 15 18 15 189
ICU 5 0 1 1 0 3 0 1 2 2 4 1 20
Other 2 1 1 3 2 1 6 3 2 0 3 0 24
Total 205 240 287 225 235 268 259 275 260 240 263 219 2,976
Note: " * " from Cardiovascular Intervention
OTHER MEDICAL SERVICES IN 2017

Statistics of Siriraj Palliative Care Center


Number of services provision to patient in 2017, classfied by month and unit, Siriraj Hospital

Case Visit
Month Home Visit Total
Out-Patients In-Patients
January 101 147 2 250
February 95 134 3 232
March 131 190 5 326
April 93 121 1 215
May 91 174 0 265
June 101 173 4 278
July 82 147 0 229
August 95 160 4 259
September 100 138 4 242
October 89 124 1 214
November 105 146 4 255
December 93 154 2 249
Total 1,176 1,808 30 3,014

205
STATISTICAL REPORT 2017

Statistics of Pharmacy Division


Number of services in 2017, classified by type of services, Siriraj Hospital

Services Unit Number


Total number of prescription dispensed (OPD) sheet 1,124,212
Total number of prescription dispensed (IPD) sheet 2,444,659
Total prescription dispensed (Special clinic) sheet 788,835
Total number of Siriraj manufacturing product (item) item 2,944,555
Total sale of Siriraj Formularies project bath 47,930,083
Total amount of sterile drug production (dose) dose 380,672
Cost saving from sterile drug production (bath) bath 24,862,416
Total number of drug preparation for children (dose) dose 52,649
Total number of postal drug delivery (time) item 7,083
Monthly Inventory as of August
Medical supplies inventory (≤ 15 days) day 35.53
Drug inventory (≤ 15 days) day 15.99
Total hospital inventory (≤ 30 days) day 31.98
Number of drugs in Siriraj hospital list 3,262
Essential drugs list 1,861 (57%)
Non-essential drug list 1,401 (43%)
Drug use ratio by cost
Essential drugs percent 40%
Non-essential drug percent 60%
Prescribing restriction policy
Number of restricted drug for specialist list 684
Number of restricted drug by indication list 113
Number of restricted drug that needs prescribing document list 106
Number of restricted drug that needs document for reimbursement list 169
Number of restricted drug that can be reimbursed for OPD only list 99
Number of restricted drug that can be reimbursed for IPD only list 41
Number of restricted drug that cannot be reimbursed list 359
Number of patients counselling by pharmacists visits 44,612
Number of the preventtion for repeated drug hypersensitivity services 1,454

206
OTHER MEDICAL SERVICES IN 2017

Statistics of Nutrition Department


Number of services patients in 2017, classified by patient's type, Siriraj Hospital

Number of services patients


Total
Year Private patient Common patient Milk stock for children Tube feeding
(set) (set) (bottle) (meal) (set)
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
2017 583,617 1,124,953 481,396 203,231 2,393,197

Academic Performance
1. Provide counseling and teach patient’s relatives how to prepare tube feeding
(371 persons/year)
2. Provide counseling on nutrition and nutrition support at Nutrition Department and via telephone
(120 case/year)
3. Be apart of Multidisciplinary team to provide counseling on nutrition and nutrition support
(750 case/year)
4. Nutrition Assessment by Modified Nutrition Alert Form
(1,253 case/year)
5. Formulate teaching media for knowledge dissemination such as poster and leaflet with modern form

207
STATISTICAL REPORT 2017

Statistics of Dental Department


Number of services provision to patient in 2017, classified monthly, Siriraj Hospital

Month Number of visits


January 2,322
February 2,191
March 3,028
April 2,264
May 2,891
June 2,605
July 2,406
August 2,700
September 2,386
October 2,332
November 2,326
December 1,915
Total 29,366

208
Statistics Toxicology Division
Number of clinical toxicology laboratory tests in 2017, classified by list, 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
1. Drug level 550 530 494 531 629 660 571 545 575 536 572 596 543 546 627 539 572 529 566 523 563 536 613 503 13,449

2. Transplant 661 220 565 201 721 178 637 170 755 217 684 225 439 428 651 232 612 241 499 447 706 260 661 269 10,679

3. Screening 1 3 8 4 1 3 2 1 3 1 2 1 2 2 2 0 1 1 5 1 1 2 4 2 53
test
4. Drug abuse 150 110 120 85 192 112 160 103 173 136 216 78 258 123 229 118 111 94 124 89 183 148 137 131 3,380

5. Metals 138 35 135 38 179 50 155 33 168 53 143 44 118 48 138 50 124 48 151 36 170 52 136 51 2,293

6. UPLC 59 47 0 53 0 52 0 56 0 50 0 60 0 61 3 71 0 73 0 74 0 76 0 735

7. GC-MS 56 0 118 0 112 0 114 0 134 1 128 0 120 3 148 0 93 0 147 0 157 0 124 0 1,455
Total 1,615 898 1,487 859 1,887 1,003 1,691 852 1,864 944 1,795 944 1,540 1,150 1,856 942 1,584 913 1,565 1,096 1,854 998 1,751 956 32,044

Total 2,513 2,346 2,890 2,543 2,808 2,739 2,690 2,798 2,497 2,661 2,852 2,707 32,044

209
OTHER MEDICAL SERVICES IN 2017
210
Number of samples laboratory of Clinical Toxicology in 2017, classified by list
Toxicology Division, Siriraj Hospital
STATISTICAL REPORT 2017

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
1. Clotted blood 668 564 602 571 778 707 698 575 735 587 698 638 653 593 750 588 682 576 705 556 714 583 739 549 15,509
2. EDTA 676 220 585 201 748 178 660 170 758 217 690 225 442 428 661 232 619 241 502 447 712 260 663 269 10,804
3. Urine 144 110 120 86 191 113 162 103 173 136 218 78 258 124 231 118 116 92 130 88 184 149 143 126 3,393
4. Urine 24 hr. 5 3 5 1 3 4 4 3 4 2 8 2 4 2 2 1 4 1 6 3 5 4 6 5 87
5. Toxin 24 0 22 0 25 1 17 1 5 0 13 1 3 0 17 0 3 1 10 1 32 1 8 3 188
6. Gas L. 1 1 5 0 2 0 2 0 6 1 1 0 3 0 0 0 0 2 0 1 1 0 1 4 31
7. Heparin 91 0 138 0 127 0 141 0 181 0 163 0 167 0 192 3 151 0 195 0 192 0 177 0 1,918
8. All type 5 0 6 0 12 0 6 0 2 1 3 0 9 3 1 0 8 0 13 0 12 0 12 0 93
Total 1,614 898 1,483 859 1,886 1,003 1,690 852 1,864 944 1,794 944 1,539 1,150 1,854 942 1,583 913 1,561 1,096 1,852 997 1,749 956 32,023
Total 2,512 2,342 2,889 2,542 2,808 2,738 2,689 2,796 2,496 2,657 2,849 2,705 32,023
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
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
Drug level
1. Antidepressants (TCA) clotted blood 3 3 2 2 5 2 5 0 2 4 1 2 2 0 4 0 2 0 5 0 3 3 4 1 55
2. Benzodiazepine clotted blood 41 7 56 3 68 3 54 8 48 6 60 3 69 3 54 2 58 6 77 2 34 6 79 4 751
3. Carbamazepine clotted blood 8 3 5 6 17 1 5 1 5 1 13 2 8 1 58 4 8 3 12 1 12 1 15 4 194
4. Digoxin clotted blood 23 20 14 11 25 10 20 8 13 12 16 9 19 14 28 12 17 15 19 21 22 15 18 16 397
5. Methotrexate clotted blood 98 65 106 65 106 60 90 74 84 44 87 76 68 99 75 114 108 93 72 88 108 74 87 70 2,011
6. Na Valproate clotted blood 100 48 76 67 100 94 108 57 97 55 106 68 104 49 104 59 102 53 98 53 106 73 100 46 1,923
7. Paracetamol clotted blood 9 9 5 3 5 10 2 9 3 7 4 3 5 9 5 7 7 5 7 8 6 5 4 12 149
8. Phenobarbital clotted blood 20 20 24 20 34 62 30 33 22 25 34 26 20 20 27 19 17 11 17 16 26 24 18 17 582
9. Phenytoin clotted blood 93 175 101 158 91 206 96 182 95 159 112 190 105 126 80 129 77 121 74 112 73 136 65 130 2,886
10. Salicylate clotted blood 0 0 2 0 4 1 1 0 0 0 2 2 3 2 1 0 0 1 1 0 2 1 1 1 25
11. Theophylline clotted blood 17 12 8 18 4 13 8 14 9 4 8 2 11 10 10 11 20 15 14 14 25 17 15 16 295
12. Vancomycin (Peak) clotted blood 1 1 1 1 2 0 3 1 3 1 2 4 3 1 1 1 2 2 1 1 1 3 0 0 36
Vancomycin (Trough) clotted blood 132 162 88 176 164 197 146 158 184 216 117 206 120 210 174 180 147 201 160 205 139 175 203 186 4,046
13. Homocysteine clotted blood 5 5 6 1 4 1 3 0 10 2 10 3 6 2 6 1 7 3 9 2 6 3 4 0 99
Total 550 530 494 531 629 660 571 545 575 536 572 596 543 546 627 539 572 529 566 523 563 536 613 503 13,449
Total 1,080 1,025 1,289 1,116 1,111 1,168 1,089 1,166 1,101 1,089 1,099 1,116 13,449

211
OTHER MEDICAL SERVICES IN 2017
212
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
Toxicology Division, Siriraj Hospital
Number of test
STATISTICAL REPORT 2017

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 108 40 103 25 128 28 97 27 117 66 105 40 109 32 105 52 102 52 126 61 99 64 114 75 1,875
2. Everolimus EDTA 92 23 77 35 123 17 90 17 122 10 92 31 81 19 107 21 64 28 89 33 89 44 87 29 1,420
3. Sirolimus EDTA 21 8 10 12 15 14 6 7 5 17 14 5 10 5 14 8 14 5 10 14 7 21 15 8 265
4. Tacrolimus EDTA 440 149 375 129 455 119 444 119 511 124 473 149 239 372 425 151 432 156 274 339 511 131 445 157 7,119
Total 661 220 565 201 721 178 637 170 755 217 684 225 439 428 651 232 612 241 499 447 706 260 661 269 10,679
Total 881 766 899 807 972 909 867 883 853 946 966 930 10,679
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
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
Screening test (Qualitative)
1. Arsenic Gas L. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arsenic Toxin 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 0 0 0 1 6
2. Cholinesterase clotted blood 0 2 3 3 0 1 0 0 0 0 1 0 0 1 0 0 0 0 2 0 0 0 1 0 14
3. Cyanide Gas L. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cyanide Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Paracetamol Gas L. 1 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 9
Paracetamol Toxin 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 2
Paracetamol Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 4
5. Paraquat Gas L. 0 0 0 0 0 0 2 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 5
Paraquat Urine 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 4
6. Salicylate Gas L. 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2
Salicylate Toxin 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
Salicylate Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
Total 1 3 6 4 1 3 2 1 3 1 2 1 2 2 2 0 0 1 5 1 1 2 4 2 50
Total 4 10 4 3 4 3 4 2 1 6 3 6 50

213
OTHER MEDICAL SERVICES IN 2017
214
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
Toxicology Division, Siriraj Hospital
Number of test
STATISTICAL REPORT 2017

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. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Amphetamine Toxin 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 2 11
Amphetamine Urine 72 55 56 38 103 64 98 56 94 81 116 48 136 73 109 54 65 53 66 52 87 73 67 60 1,776
2. Antidepressants (TCA) Gas L. 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4
Antidepressants (TCA) Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1
Antidepressants (TCA) Urine 5 5 1 5 2 2 0 1 0 1 3 1 2 1 3 1 0 1 2 1 4 2 2 4 49
3. Benzodiazepine Gas L. 0 0 2 0 1 0 0 0 2 0 0 0 2 0 0 0 0 1 0 0 0 0 0 2 10
Benzodiazepine Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Benzodiazepine Urine 14 6 6 5 8 1 6 2 8 4 5 2 26 1 10 1 7 2 4 3 17 1 12 3 154
4. Cannabinoid Gas L. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cannabinoid Toxin 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
Cannabinoid Urine 30 23 27 18 38 26 28 24 34 25 46 14 46 26 56 33 19 19 27 17 36 39 28 31 710
5. Opiates Gas L. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Opiates Toxin 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
Opiates Urine 23 21 24 19 39 19 28 20 34 25 45 13 46 22 51 29 20 17 25 15 36 33 28 28 660
Total 150 110 120 85 192 112 160 103 173 136 216 78 258 123 229 118 111 94 124 89 183 148 137 131 3,380
Total 260 205 304 263 309 294 381 347 205 213 331 268 3,380
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
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
Metals
1. Aluminium EDTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Aluminium Urine 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Aluminium clotted blood 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 4
2. Arsenic EDTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arsenic Urine 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 1 0 0 0 5
3. Cadmium EDTA 10 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 12
Cadmium Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2
4. Chromium EDTA 0 0 11 0 14 0 1 0 2 0 0 0 1 0 2 0 2 0 0 0 2 0 1 0 36
Chromium Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Copper Urine 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 3
Copper Urine 24 hr. 5 3 5 1 3 4 4 3 4 2 8 2 4 2 2 1 4 1 6 3 5 4 6 5 87
Copper clotted blood 29 6 22 10 36 10 29 7 44 15 23 7 28 12 28 14 23 12 39 6 37 9 28 13 487
6. Iron clotted blood 0 0 0 1 1 0 0 1 0 1 0 2 0 0 1 2 2 7 0 0 1 0 1 0 20
7. Lead EDTA 5 0 8 0 12 0 22 0 1 0 6 0 2 0 7 0 4 0 2 0 3 0 1 0 73
Lead Toxin 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 5 0 1 0 8
Lead Urine 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 3
8. Lithium clotted blood 30 9 28 4 36 18 30 7 39 9 36 12 29 10 32 6 20 6 31 8 41 18 33 11 503
9. Magnesium (Mg) clotted blood 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 4
10. Mercury (Hg) EDTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mercury Urine 0 0 3 0 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 1 0 0 0 9
11. Manganese (Mn) EDTA 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 4
Manganese Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12. Zinc Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 3
Zinc clotted blood 59 17 55 22 75 18 68 15 77 25 64 21 53 23 60 27 64 22 67 19 72 20 63 22 1,028
Total 138 35 134 38 179 50 155 33 168 53 143 44 118 48 138 50 124 48 151 36 170 52 136 51 2,292
Total 173 172 229 188 221 187 166 188 172 187 222 187 2,292

215
OTHER MEDICAL SERVICES IN 2017
216
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
Toxicology Division, Siriraj Hospital
Number of test
STATISTICAL REPORT 2017

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. Amitriptyline Heparin 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
2. Clomipramine Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Desipramine Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Doxepin Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Gliclazide Heparin 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 8
6. Glimepiride Heparin 1 0 0 0 2 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 8
7. Glipizide Heparin 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 7
8. Hydroxy Itraconazole Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. Imipramine Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. Itraconazole Heparin 10 0 5 0 10 0 4 0 6 0 11 0 17 0 11 0 24 0 12 0 15 0 12 0 137
11. Nortriptyiline Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12. Posaconazole Heparin 6 0 11 0 5 0 5 0 11 0 14 0 10 0 9 0 7 0 12 0 11 0 13 0 114
13. Protriptyline Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14. Tricyclic confirm Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tricyclic screening Heparin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
15. Trimipramine Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16. Voriconazole Heparin 39 0 31 0 31 0 41 0 38 0 25 0 33 0 41 0 37 0 49 0 45 0 48 0 458
Total 59 0 47 0 53 0 52 0 56 0 50 0 60 0 61 3 71 0 73 0 74 0 76 0 735
Total 59 47 53 52 56 50 60 64 71 73 74 76 735
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
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
1. Abametine Heparin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Alcohols screening All type 1 0 3 0 7 0 2 0 0 1 1 0 2 1 0 0 2 0 1 0 2 0 6 0 29
3. Amcinonide Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Amphetamine (confirm) Urine 0 0 3 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 2 0 1 0 9
5. Barbiturates screening All type 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 0 7 0 3 0 14
6. Benzodiazepine screening All type 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 0 0 0 0 4
7. Betamethasone Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. Busulfan Heparin 0 0 0 0 0 0 13 0 13 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 39
9. Clobetasol Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. Cyanide All type 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
11. Dexamethasone Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12. Diethylphosphate Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13. Diethylthiophosphate Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14. Diflorasone Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15. Dimethylphosphate Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16. Dimethylthiophosphate Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17. Dopamine Heparin 4 0 2 0 0 0 0 0 2 0 2 0 4 0 10 0 0 0 9 0 4 0 0 0 37
18. Drug Quatitatiive All type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19. Fluocinolone Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20. Hippuric acid Urine 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4

217
OTHER MEDICAL SERVICES IN 2017
218
Number of samples laboratory of Clinical Toxicology in 2017, classified by list (cont.)
Toxicology Division, Siriraj Hospital
Number of test
STATISTICAL REPORT 2017

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
21. Hydrocortisone Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22. Metanephrine Heparin 14 0 44 0 37 0 39 0 56 0 56 0 55 0 55 0 39 0 56 0 57 0 51 0 559
23. Methamphetamine Urine 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 2 0 4 0 1 0 2 0 15
(confirm)
24. Normetanephrine Heparin 14 0 44 0 37 0 37 0 54 0 55 0 48 0 53 0 41 0 57 0 57 0 50 0 547
25. Organochlorine screening All type 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
26. Organonitrogen screening All type 0 0 1 0 0 0 2 0 1 0 0 0 4 0 0 0 1 0 3 0 2 0 1 0 15
27. Organophosphorous All type 2 0 0 0 1 0 2 0 0 0 1 0 0 2 1 0 2 0 3 0 1 0 2 0 17
screening
28. Paraquat All type 1 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4
29. Polycyclic Aromatic Hydro All type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30. Prednisolone Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31. Pyrethrins screening All type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 4
32. Steroids Toxin 18 0 16 0 24 0 17 0 5 0 11 0 3 0 15 0 3 0 8 0 24 0 7 0 151
33. Thiocyanate All type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2
34. Triamcinolone Toxin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35. Volatile Organic All type 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
Compounds
36. Warfarin Heparin 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Total 56 0 118 0 112 0 114 0 134 1 128 0 120 3 148 0 93 0 147 0 157 0 124 0 1,455
Total 56 118 112 114 135 128 123 148 93 147 157 124 1,455
Total Test 1,615 898 1,484 859 1,887 1,003 1,691 852 1,864 944 1,795 944 1,540 1,150 1,856 942 1,583 913 1,565 1,096 1,854 998 1,751 956 32,040
Number of the response to the question about drugs in 2017, classified by genre questioner
Toxicology Division, Siriraj Hospital

Number of answer questions


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 255 111 323 87 285 106 371 193 332 97 281 88 239 153 294 104 263 110 297 113 191 98 341 130 4,862
Outside Siriraj Hospital 5 1 1 2 0 2 10 1 7 7 9 0 10 1 11 3 13 9 1 6 0 1 7 4 111
Pharmacist
In Siriraj Hospital 98 60 101 41 140 33 123 58 149 37 140 28 227 64 197 50 156 48 81 55 178 42 149 47 2,302
Outside Siriraj Hospital 32 14 16 6 32 18 20 14 18 4 44 18 17 8 30 14 38 30 14 17 17 21 15 22 479
Nurse
In Siriraj Hospital 666 433 538 390 566 420 632 423 699 410 599 449 565 593 576 373 598 480 468 502 563 430 585 512 12,470
Outside Siriraj Hospital 1 13 7 4 18 3 13 2 4 5 1 6 4 5 13 6 2 10 1 3 0 17 1 6 145
Medical personnel
In Siriraj Hospital 15 2 8 1 22 0 22 2 21 3 10 1 15 2 13 0 27 6 10 1 8 1 12 2 204
Outside Siriraj Hospital 3 3 3 2 5 0 0 2 7 0 0 3 3 2 5 0 2 2 1 1 5 1 0 1 51
People 209 148 166 75 164 123 135 130 258 148 267 135 270 192 232 127 216 152 230 150 201 156 244 133 4,261
Total 1,284 785 1,163 608 1,232 705 1,326 825 1,495 711 1,351 728 1,350 1,020 1,371 677 1,315 847 1,103 848 1,163 767 1,354 857 24,885

Number of questions 2,069 1,771 1,937 2,151 2,206 2,079 2,370 2,048 2,162 1,951 1,930 2,211 24,885

219
OTHER MEDICAL SERVICES IN 2017
220
Number of the response to the question about drugs in 2017, classified by questions
Toxicology Division, Siriraj Hospital
Number of answer questions
STATISTICAL REPORT 2017

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 70 54 80 43 83 39 65 64 139 59 97 51 95 73 96 46 79 63 59 68 75 46 98 58 1,700
Availability 154 42 132 27 150 43 185 47 129 40 134 33 117 47 142 33 131 38 121 43 108 30 117 48 2,091
Compat./Stab. 281 228 252 178 286 220 275 216 309 192 285 232 289 293 266 195 280 237 191 238 275 214 242 248 5,922
Cost 47 11 38 3 24 9 67 15 27 4 26 7 35 8 53 3 38 4 57 4 23 7 69 9 588
Dosage/Adm. 322 244 320 220 326 235 282 258 333 225 373 236 343 342 336 213 335 277 263 274 292 258 329 265 6,901
Herbal/Conv.med 8 1 7 3 7 0 9 1 17 0 2 2 4 0 10 1 12 0 5 0 11 2 8 0 110
Identification 40 15 36 18 31 19 61 14 65 20 51 17 32 30 52 18 26 23 45 22 33 16 48 32 764
Interactions 40 23 31 16 31 13 46 33 58 29 28 22 45 35 34 9 39 37 38 19 60 30 46 17 779
Law/Policy 110 37 89 23 83 43 109 35 140 32 112 34 121 42 131 36 122 37 118 38 83 39 136 41 1,791
Pharmacokinetics 15 7 20 2 12 4 13 22 30 7 19 5 23 9 23 6 29 8 31 4 13 5 21 6 334
Pharmaceutics 68 42 47 26 67 24 83 22 85 29 58 26 43 25 67 27 87 29 58 31 56 34 74 52 1,160
Preg.& Lact. 27 10 26 7 25 5 17 14 11 6 10 3 17 19 17 12 16 9 9 16 29 10 21 7 343
Ther.use/Efficacy 102 71 85 42 107 51 114 84 152 68 156 60 186 97 144 78 121 85 108 91 105 76 145 74 2,402
Total 1,284 785 1,163 608 1,232 705 1,326 825 1,495 711 1,351 728 1,350 1,020 1,371 677 1,315 847 1,103 848 1,163 767 1,354 857 24,885

Number of questions 2,069 1,771 1,937 2,151 2,206 2,079 2,370 2,048 2,162 1,951 1,930 2,211 24,885
Number of questions answered of toxicology in 2017, classified by vocation consultant
Toxicology Division, Siriraj Hospital
Number of answer questions
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 51 99 28 85 41 76 31 96 42 90 45 95 39 111 49 99 33 87 23 79 35 70 36 75 1,515
Pharmacist 1 0 0 0 2 0 2 3 2 0 3 0 1 1 1 0 0 0 1 0 1 0 2 0 20
Nurse 0 0 1 1 0 0 2 1 1 0 1 2 0 1 1 1 0 0 0 4 0 0 0 0 16
People 0 1 2 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 7
Total 52 100 31 86 43 76 35 100 45 90 49 97 41 114 51 100 34 87 24 84 36 70 38 75 1,558

Number of questions answered of toxicology in 2017, 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 36 79 24 66 34 54 24 81 31 62 37 75 33 78 32 72 29 62 23 67 24 40 13 51 1,127
Less than 15 16 21 4 18 3 12 7 16 13 28 9 21 8 36 10 13 3 25 1 16 12 29 18 12 351
years
Information 0 0 3 2 6 10 4 3 1 0 3 1 0 0 9 15 2 0 0 1 0 1 7 12 80
Total 52 100 31 86 43 76 35 100 45 90 49 97 41 114 51 100 34 87 24 84 36 70 38 75 1,558

221
OTHER MEDICAL SERVICES IN 2017
222
Number of questions answered of toxicology in 2017 classified by types of toxins
Toxicology Division, Siriraj Hospital

Number of answer questions


STATISTICAL REPORT 2017

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 21 43 15 27 20 28 16 38 19 35 20 33 15 41 20 34 16 40 9 35 13 23 14 39 614
Insecticides and other pesticides 5 12 4 8 2 9 2 18 5 7 5 12 4 13 5 13 4 5 6 9 5 9 5 3 170
Herbicides 1 3 3 8 1 5 2 6 4 6 12 8 2 11 3 9 1 5 2 1 3 2 4 6 108
Household products 6 15 2 16 10 9 3 14 5 18 3 12 4 15 5 18 2 4 2 17 4 13 5 11 213
Poisonous animals 5 6 2 1 0 2 1 6 5 5 2 7 7 6 4 5 4 8 1 4 1 5 3 4 94
Poisonous plants 1 1 0 1 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 9
Mushroom toxins 1 1 0 1 0 0 1 1 1 3 0 4 1 1 0 0 0 1 1 3 0 0 0 0 20
Food toxin and contamination 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3
Hydrocarbon 4 2 2 3 3 7 2 6 3 4 1 1 2 2 1 3 0 4 0 0 0 5 2 2 59
Abuse agent and toxic alcohol 1 6 0 6 3 5 1 2 0 1 2 4 2 10 3 4 0 4 2 6 1 4 2 4 73
Other 6 11 3 15 4 10 7 9 2 11 4 15 4 14 10 11 7 16 1 9 9 9 2 6 195
Total 52 100 31 86 43 76 35 100 45 90 49 97 41 114 51 100 34 87 24 84 36 70 38 75 1,558
OTHER MEDICAL SERVICES IN 2017

Statistics of Siriraj Organ Transplant


Number of services in 2017, 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 4 110 4 353 4 101 1 10
February 4 91 4 330 4 116 1 10
March 4 104 4 325 5 141 1 10
April 3 91 4 301 3 76 1 8
May 4 94 5 427 2 62 1 12
June 4 115 4 347 4 102 1 11
July 4 108 4 357 4 137 1 16
August 3 86 5 395 3 99 1 11
September 4 102 4 300 4 90 1 10
October 4 96 5 434 4 115 1 10
November 4 124 4 372 4 88 1 14
December 2 60 3 312 4 109 1 11
Total 44 1,181 50 4,253 45 1,236 12 133

223
STATISTICAL REPORT 2017

Statistics of Research Center for Nutritional Support


Number of consulted patients in 2017, classified by patient's type, Siriraj Hospital

Patient's type Unit Number


1. In-patients (adult only) consult for nutrition support visits 452
2. Out-patients at Nutritional clinic services 1,530
3. In and out-patients received nutrition advice before and after bariatric surgery services 616
4. Out-patients consult for psychiatric TMHQ screening before bariatric surgery visits 71
5. In and out patients consult for nutrition advice services 12
6. In and out patients consult for Indirect Calorimetry test (Metabolic test) services 44
7. Service of enteral feeding pump services 2,310
8. Service of energy composition analysis by bomb calorimeter method services 146

224
Statistics of Patient Transfer Division
Number of providing moving services in 2017, classified by type of services, Siriraj Hospital

Number of offers (travel)


Type of Services Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Moving patients 133,190 131,595 153,881 125,503 149,569 151,997 138,234 147,769 136,184 131,180 153,306 126,906 1,679,314
1.1. Out-Patients 98,424 97,625 112,785 93,915 110,311 111,729 101,514 107,354 99,141 96,440 111,265 92,812 1,233,315
1.2. In-Patients 26,544 26,358 31,905 24,749 30,369 31,650 28,704 31,465 29,139 27,322 33,790 26,919 348,914
1.3. Surgery patients 7,808 7,207 8,706 6,555 8,501 8,182 7,618 8,510 7,469 7,039 7,746 6,745 92,086
1.4. Emergency patients 414 405 485 284 388 436 398 440 435 379 505 430 4,999
2. Receiving - sending specimens 5,933 5,422 6,039 4,396 5,834 6,401 5,447 7,542 6,963 6,717 7,633 6,594 74,921
3. Moving the deceased 149 146 154 139 149 145 179 159 140 148 164 141 1,813
Total 139,272 137,163 160,074 130,038 155,552 158,543 143,860 155,470 143,287 138,045 161,103 133,641 1,756,048

225
OTHER MEDICAL SERVICES IN 2017
226
Statistics of Siriraj Primary Care Unit
Number of patients receiving services in 2017, classified by diagnosis type, Siriraj Hospital
STATISTICAL REPORT 2017

Number of patients
Diagnosis type Unit Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1. Treatment and Health Promotion person 3,334 3,256 3,733 3,060 3,633 3,673 3,382 3,770 3,405 3,256 3,632 3,329 15,565
1.1 Common disease diagnosis and treatment visit 4,064 4,094 4,776 3,743 4,647 4,788 4,291 4,855 4,275 4,087 4,659 4,182 52,461
1.2 Antenatal care visit 80 71 91 77 91 69 63 65 42 50 59 50 808
1.3 Vaccines and child development visit 33 32 36 30 47 54 45 53 32 47 48 35 492
1.4 Home visit visit 38 36 48 36 37 48 36 47 41 37 44 33 481
1.5 Dentistry visit 175 226 278 194 249 270 238 273 251 238 271 229 2,892
2. Applied Thai Traditional Medicine in PCU visit 207 289 340 274 357 405 289 275 286 236 295 139 3,392
3. Applied Thai Traditional Medicine in community visit 91 60 61 26 96 95 84 0 109 72 109 33 836
4. Health condition screening in the community services 7 6 6 3 8 9 7 3 5 49
Close
visit 127 107 104 42 148 148 104 70 58 850
5. Forward for treatment at Siriraj Hospital person 1,331 1,304 1,560 1,234 1,527 1,445 1,318 1,458 1,372 1,314 1,437 1,349 10,180

Note: Number of patients (Total) Hn no repeat


OTHER MEDICAL SERVICES IN 2017

Statistics of Medical Record Division


Number of new patient registration in 2017, classified by type of registration
Out patient Medical Record Unit, Siriraj Hospital
Number of New patient registration
Month Total
Walk in Online
January 16,242 2,431 18,673
February 8,180 1,856 10,036
March 10,016 2,296 12,312
April 8,325 2,226 10,551
May 9,576 2,118 11,694
June 10,163 2,418 12,581
July 9,781 2,673 12,454
August 9,528 2,513 12,041
September 8,978 2,355 11,333
October 8,658 2,360 11,018
November 8,652 2,278 10,930
December 7,338 1,962 9,300
Total 115,437 27,486 142,923

Nember of patient registration in The disbursement of the money being official in 2017
Classified by type of official, Out patient Medical Record Unit, Siriraj Hospital
Number of patient registration
Month Civil Servants Bangkok officials Election Commission Total
of Thailand
January 2,110 194 0 2,304
February 1,795 114 0 1,909
March 1,618 89 0 1,707
April 2,186 166 0 2,352
May 2,226 165 0 2,391
June 2,121 155 0 2,276
July 1,908 130 0 2,038
August 2,196 142 0 2,338
September 2,052 125 0 2,177
October 2,277 162 0 2,439
November 2,049 148 14 2,211
December 1,515 119 19 1,653
Total 24,053 1,709 33 25,795

227
STATISTICAL REPORT 2017

Number of informed services regarding birth - death in 2017, classified by gender


Out patient Medical Record Unit, Siriraj Hospital
Certificate of Birth Certificate of Death
Month
Male Female Total Male Female Total
January 290 295 585 98 32 130
February 262 285 547 82 71 153
March 343 338 681 85 88 173
April 329 298 627 88 89 177
May 368 309 677 94 84 178
June 331 342 673 93 94 187
July 350 348 698 101 83 184
August 347 353 700 102 75 177
September 382 364 746 77 80 157
October 353 352 705 82 84 166
November 362 340 702 87 75 162
December 320 333 653 92 87 179
Total 4,037 3,957 7,994 1,081 942 2,023

Number of working in 2017, 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 3,899,070
2. Scan the out-patient medical record document at the medical unit 3,899,070
3. Check the ICD coding in the out-patient medical record 7,480
4. Check the ICD coding in the in-patient medical record 885
5. Completeness evaluation of out-patient medical record (MRA) according to 528
the NHSO manual
6. Completeness evaluation of in-patient medical record (MRA) according to 480
the NHSO manual

228
OTHER MEDICAL SERVICES IN 2017

Number of services for the request of medical history through Office of the Director
Classified by the objective of client in 2017
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 291 0 23 0 4 1 319
February 279 0 20 3 2 4 308
March 317 1 29 0 0 10 357
April 288 2 23 1 1 5 320
May 299 1 22 6 3 1 332
June 392 0 27 0 3 2 424
July 325 1 15 0 3 9 353
August 327 0 26 0 0 12 365
September 357 0 22 4 2 5 390
October 332 0 24 4 1 9 370
November 404 0 31 3 0 13 451
December 311 2 23 2 1 15 354
Total 3,922 7 285 23 20 86 4,343

Number of data retrieving services regarding birth - death in 2017, classified by month
In Patients Medical Record Unit, Medical Record Division, Siriaj Hospital
Number of data retrieving services
Month
Birth Dead Total
January 4 8 12
February 7 4 11
March 10 10 20
April 3 5 8
May 5 11 16
June 6 17 23
July 6 17 23
August 10 22 32
September 10 10 20
October 8 2 10
November 7 10 17
December 5 9 14
Total 81 125 206

229
STATISTICAL REPORT 2017

Number of medical statistics services in 2017, classified by the client's objective


Medical Statistics Report Unit, Medical Record Division, Siriaj Hospital

Number of services (Topic)


Month Total
Research Teaching Other
January 34 0 17 51
February 31 3 9 43
March 34 1 12 47
April 17 1 9 27
May 25 2 4 31
June 16 1 10 27
July 17 1 7 25
August 39 2 5 46
September 23 0 2 25
October 28 0 2 30
November 31 4 5 40
December 29 4 7 40
Total 324 19 89 432

230
.

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