december - teaching hospital, kandy · 2018. 10. 21. · dr. mrs. e.v.k. epitakumbura 2 12 7 5 11...
TRANSCRIPT
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Monthly Health
Bulletin
December 2013
TEACHING HOSPITAL - KANDY
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Teaching Hospital, Kandy, Sri Lanka
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Source of Information: Data collected from all respective departments and units of the Hospital
Guidance;
Dr. RMSK Rathnayake (MBBS, MSc Medical Administration)
Director - THK
Software Designing and Overall Cordination;
Dr. Saminda M Dharmaratne (MBBS, DCH, MSc in Biomedical Informatics)
Medical Officer Incharge - Health Information & Research Unit
Prepared By;
Ms. JMWG Damayanthi Kumari (BA)
Medical Record Officer
MONTHLY HEALTH BULLETIN
2013 December
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OUT PATIENT DEPARTMENT
SPECIALIZED CLINICS
OUT PATIENT SERVICE
OUT PATIENT SERVICE MALE FEMALE TOTAL
OPD
No of First Visits 11,545 16,440 27,985
No of Subsequent visits 865 1,425 2,290
Daily average (OPD)include Saturdays & Sundays 400 576 976
Daily average (OPD) exclude Saturdays & Sundays & PH 620 893 1,513
Highest no of out patients on any one day(13.12.26) 832 955 1,787
Lowest no of out patients on any one day(13.12.23) 101 149 250
Total number of OPD patients 12,410 17,865 30,275
Blood drowing patients 1,274 705 1,979
Clinics
No of All clinics patients 34,920 43,636 78,556
OPD + CLINICS
Grand total (OPD+clinics) 47,330 61,501 108,831
Daily average (OPD & cllinics) 1,526 1,983 3,509
ECG & EEG
No of ECG recordings done in the OPD 679 708 1,387
No of EEG recordings done in the OPD 70 79 149
Surgical
Total no of Dressings 1,274 705 1,979
No of Minor operations done in the OPD 93 136 229
Malaria
No of Malaria patients 0 0 0
No of Plasmodium Vivax patients 0 0 0
No of Plasmodium Falciparum patients 0 0 0
No of Mixed patients 0 0 0
Deaths
Total no of OPD deaths 17 4 21
Total no of ETU deaths 8 6 14
PATIENTS IN THE ETU
ETU Patients
2,755TOTAL ETU PATIENTS
2013 December Page 1Health Information and Research Unit - TH Kandy
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SPECIALIZED CLINICS
CLINICS BY SPECIALTY
Consultant's name Clinics Male Femal Male Female
1st visit 2nd visit
TOTAL
Average per Clinic
ANC
Dr. G.H.K.K. Gunawardana 4 0 302 0 696 998 250
Dr. W. Abeykoon 5 0 208 0 377 585 117
Dr. W.S. Hemapriya 4 0 169 0 274 443 111
13 0 679 0 1,347 2026
Anti Coagulant
Dr. Mrs. Sunethra Athauda 4 2 1 113 154 270 68
4 2 1 113 154 270
Breast
Dr.R.Manathunga 9 3 118 0 201 322 36
9 3 118 0 201 322
Cardio Thoracic
Dr. K. Gnanakanthan 4 33 14 74 41 162 41
Dr. M. Lansakkara 3 21 13 83 66 183 61
Dr. M.N. Jazeel 5 32 25 100 64 221 44
12 86 52 257 171 566
Cardiology
Dr. Mrs H.R.N.R. Tennakoon 20 128 67 3308 1170 4673 234
Dr. Mrs S.R. Jayawickrama 20 34 20 487 128 669 33
Dr. S.N.B. Dolapihilla 20 49 24 338 126 537 27
60 211 111 4,133 1,424 5879
Dental
Dental Surgeons (Non Consultant) 31 924 1434 94 200 2652 86
31 924 1,434 94 200 2652
Dermatology
Dr. C.J. Wijekoon 13 98 133 418 432 1081 83
Dr. Mrs. M. Dissanayaka 16 150 204 1000 1085 2439 152
Dr. Mrs. M.H.A.J.P.Chandani 15 44 55 106 157 362 24
44 292 392 1,524 1,674 3882
2013 December Page 2Health Information and Research Unit - TH Kandy
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Consultant's name Clinics Male Femal Male Female
1st visit 2nd visit
TOTAL
Average per Clinic
Diabetes
Dr. C.N. Antonypillai 32 46 79 1172 2093 3390 106
32 46 79 1,172 2,093 3390
Echo
Dr. G.N.A.N. Mayurathan 3 76 61 0 0 137 46
Dr. Mrs H.R.N.R. Tennakoon 3 34 32 0 0 66 22
Dr. Mrs S.R. Jayawickrama 4 31 33 0 0 64 16
Dr. S.N.B. Dolapihilla 4 68 27 0 0 95 24
Dr. W.A.I. Kularathna 4 85 53 0 0 138 35
18 294 206 0 0 500
Electro Physio
Dr. Mrs D.S. Gunawardana 9 66 51 333 343 793 88
9 66 51 333 343 793
Endocrinology
Dr. C.N. Antonypillai 8 15 70 199 540 824 103
8 15 70 199 540 824
ENT
Dr. M.R.R. Fernando 20 296 343 268 311 1218 61
Dr. S. Selwarathnam 10 229 342 253 370 1194 119
30 525 685 521 681 2412
Epilepsy
Dr. K.P.I. Wijeweera 4 26 16 962 815 1819 455
4 26 16 962 815 1819
Eye
Dr. Mrs. W.M.S.P.K. Samarakoon 8 27 31 63 73 194 24
Dr. Mrs.D. Beminiwaththa 19 703 719 1032 1063 3517 185
Dr. N.S. Senanayaka 18 995 1024 1276 1282 4577 254
Dr. Sririharanathan 11 75 70 188 180 513 47
56 1,800 1,844 2,559 2,598 8801
Familly Planning
Consultant Obstetricians & Gynaecologists 32 3 190 0 171 364 11
32 3 190 0 171 364
Gastro Intestinal
2013 December Page 3Health Information and Research Unit - TH Kandy
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Consultant's name Clinics Male Femal Male Female
1st visit 2nd visit
TOTAL
Average per Clinic
Dr. U. Kalubowila 7 94 65 187 170 516 74
7 94 65 187 170 516
GI Surgery
Dr. D.T. Amal Priyantha 7 33 53 190 224 500 71
7 33 53 190 224 500
Gyn Onco
Dr. B.J.B. Alagoda 4 0 23 0 33 56 14
4 0 23 0 33 56
Gynaecology
Dr. G.H.K.K. Gunawardana 4 0 197 0 253 450 113
Dr. W. Abeykoon 4 0 119 0 121 240 60
Dr. W.S. Hemapriya 5 0 171 0 244 415 83
13 0 487 0 618 1105
Haematalogy
Dr. Mrs. Sunethra Athauda 8 17 29 125 212 383 48
8 17 29 125 212 383
Leprosy
Consultant Dermatologists 44 3 1 23 6 33 1
44 3 1 23 6 33
Medical
Dr. H. Wimalarathna 7 25 40 968 1018 2051 293
Dr.Kularathna 9 25 16 616 912 1569 174
Dr.Mrs. T.Kannangara 10 38 46 1099 1212 2395 240
26 88 102 2,683 3,142 6015
Neonatal
Dr. Mrs. E.V.K. Epitakumbura 2 54 54 88 91 287 144
Dr. Mrs. Nalika Menike 2 84 56 94 97 331 166
4 138 110 182 188 618
Nephrology
Dr A.W.M. Wazil 29 76 47 1125 664 1912 66
Dr. D.C.P. Fernando 4 27 8 27 18 80 20
Dr. N.N.P.G.K.N. Nanayakkara 10 142 61 518 336 1057 106
Dr. P.K. Harischandra 4 23 8 46 33 110 28
2013 December Page 4Health Information and Research Unit - TH Kandy
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Consultant's name Clinics Male Femal Male Female
1st visit 2nd visit
TOTAL
Average per Clinic
47 268 124 1,716 1,051 3159
Neuro Surgical
Dr. D.R.P.A. Wickramasingha 9 94 83 535 495 1207 134
9 94 83 535 495 1207
Neuro Surgical 2
Dr. W.D.L. Siriwardhana 8 91 78 333 236 738 92
8 91 78 333 236 738
Neurology
Dr. K.P.I. Wijeweera 7 55 62 815 795 1727 247
7 55 62 815 795 1727
Neurophysiology
Dr.D.M.N.Dharmakeerthi 12 209 228 0 0 437 36
12 209 228 0 0 437
Nutrition
Nutritionist (Non Consultant) 20 102 133 86 102 423 21
20 102 133 86 102 423
Nutrition Promotion
Medical Officers (Non Consultant) 21 1 4 0 4 9 0
21 1 4 0 4 9
OMF
Dr. Mrs. W.M.S.D. Abeyrathna 8 117 84 310 226 737 92
8 117 84 310 226 737
Onco Surgery
Dr.R.Manathunga 4 19 27 36 72 154 39
4 19 27 36 72 154
Oncology
Dr. A.J. Hilmi 11 89 113 804 1837 2843 258
Dr.Yoganathan 13 77 78 550 1180 1885 145
24 166 191 1,354 3,017 4728
Orthodontic
Dr. Mrs. W.A.M.D.P.Wettasingha 24 65 79 524 796 1464 61
24 65 79 524 796 1464
Orthopaedic
2013 December Page 5Health Information and Research Unit - TH Kandy
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Consultant's name Clinics Male Femal Male Female
1st visit 2nd visit
TOTAL
Average per Clinic
Dr. B.M.S. Udagedara 11 172 245 356 324 1097 100
Dr. G.S. Edirisingha 13 200 170 545 541 1456 112
24 372 415 901 865 2553
Paed Neurology
Dr.Jagath Munasinha 3 4 4 39 40 87 29
3 4 4 39 40 87
Paed Surgical
Dr. G.D.L.P.K. Jayawardana 7 62 28 67 34 191 27
Dr. P.D.R. Sisil Kumara 9 47 29 108 47 231 26
16 109 57 175 81 422
Paediatric
Dr. Mrs. S.C. Wickramasingha 11 29 21 210 214 474 43
Dr. W.M.M. Arambepola 9 21 22 245 248 536 60
20 50 43 455 462 1010
Plastic Surgical
Dr. Mrs. D. Kanapatipillaie 4 29 28 65 85 207 52
4 29 28 65 85 207
Psychiatry
Dr. Mrs. S.C.A. Arabepola 9 45 50 401 408 904 100
Dr. W.A.L. Wickramasingha 7 57 49 737 757 1600 229
16 102 99 1,138 1,165 2504
Respiratory
Dr. Mrs. A.D. Siribaddana 5 42 39 55 89 225 45
Dr. R.M.D. Medagedara 3 25 15 72 105 217 72
8 67 54 127 194 442
Restroactive Dentisty
Dr. W.N. Kularathna 7 10 9 14 23 56 8
7 10 9 14 23 56
Rheumatology
Dr. V.W.J.K. Vasanthatilaka 11 7 29 245 1174 1455 132
11 7 29 245 1,174 1455
SFC
Dr. G.H.K.K. Gunawardana 4 0 2 0 86 88 22
2013 December Page 6Health Information and Research Unit - TH Kandy
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Consultant's name Clinics Male Femal Male Female
1st visit 2nd visit
TOTAL
Average per Clinic
Dr. W. Abeykoon 5 0 23 0 26 49 10
Dr. W.S. Hemapriya 0 0 0 0 0 0 #Num!
9 0 25 0 112 137
Sports Medicine
Consultant Orthopaedic Surgeons 4 24 2 26 9 61 15
4 24 2 26 9 61
Surgical
Dr. P.R. Pitigalaarachhi 8 177 284 195 752 1408 176
Dr. R.J.K. Senewirathna 7 206 208 243 686 1343 192
Dr. S.M.M. Niyas 8 204 160 147 675 1186 148
23 587 652 585 2,113 3937
Urology
Dr.Kanchana edirisingha 5 108 54 374 105 641 128
Dr.M.Herath 4 193 46 228 135 602 151
9 301 100 602 240 1243
V/Paed OPD
Dr. Priyanthimala Abenayaka 25 53 46 143 133 375 15
25 53 46 143 133 375
Vascular
Dr. D.C.P. Fernando 4 40 28 113 154 335 84
4 40 28 113 154 335
VP OPD
Dr. Mrs. S. Abeyguawardhana 26 128 273 1495 3131 5027 193
26 128 273 1,495 3,131 5027
Well Baby
Dr. Mrs. E.V.K. Epitakumbura 2 12 7 5 11 35 18
Dr. Mrs. Nalika Menike 2 5 4 13 16 38 19
Dr. Mrs. S.C. Wickramasingha 2 5 4 13 8 30 15
Dr. W.M.M. Arambepola 1 5 8 10 8 31 31
7 27 23 41 43 134
Youth Friendly Health
Medical Officers (Non Consultant) 21 19 21 8 14 62 3
21 19 21 8 14 62
2013 December Page 7Health Information and Research Unit - TH Kandy
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896 7,782 9,799 27,138 33,837 78556 88
2013 December Page 8Health Information and Research Unit - TH Kandy
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IMMUNIZATION
Ante Natal TOTAL
Tetanus Toxoid - Anti natal mothers - 1st dose 3
Tetanus Toxoid - Anti natal mothers - 2nd dose 4
7
OPD TOTAL
O.P.D. Tetanus 366
O.P.D. Insulin 95
O.P.D. Penicillin 97
O.P.D. ARV 1,396
Other injections 55
2,009
Well Baby TOTAL
Pentavalent 1st dose 15
Pentavalent 2nd dose 16
Pentavalent 3rd dose 13
Pentavalent 4th dose 17
Dual Vaccine - 5th dose 18
Polio vaccine 1st dose 15
Polio vaccine 2nd dose 17
Polio vaccine 3rd dose 11
Polio vaccine 4th dose 18
Polio vaccine 5th dose 19
MMR 1st dose - 1st Year 15
MMR 3rd dose - 3rd Year 17
Hapatitis B - 1st dose 1
JE 9/12 month 19
211
2013 December Page 9Health Information and Research Unit - TH Kandy
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IN PATIENT DEPARTMENT
INPATIENT SERVICES
INPATIENTS SERVICE TOTAL
Resources
No of patients Beds 2254
Admissions
No of patients admitted 15715
No of patients admitted from other hospitals 2299
Total no of patients transferred from other wards 3186
Daily Average Admission 506
Inpatient care
Total days of Care to patients during the month 63971
Average Daily Sick 2063
Average Length of Stay - Days 4.2
Bed Occupancy % 91.5
Turn Over Rate 6.6
Turnover Interval - Days 0.3
Leavings
Total no.of patients discharged - Home 13882
Total no.of patients transfer to other hospitals 135
Total no.of patients missing or left against medical advice 608
Total no.of live discharges 14625
Total no.of patients transfer to other wards 2338
Daily Average Discharges 471
Deaths
Total no.of inpatients deaths 268
Gross death rate % 1.79
Net death rate % 1.39
OPERATIONS BY SPECIALTY AND ANAESTHESIA
Specialty Consultant Major Inter Minor GA Spinal Epidural Local without
Type of Surgery Type of Anaesthesia
Cardiothorasic Surgery
Dr. M.N. Jazeel 10 0 2 12 0 0 0 0
Dr. K. Gnanakanthan 14 0 0 14 0 0 0 0
Dr. M. Lansakkara 21 0 1 22 0 0 0 0
2013 December Page 10Health Information and Research Unit - TH Kandy
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45 0 3 48 0 0 0 0
ENT Surgery
Dr. M.R.R. Fernando 32 52 149 81 0 0 132 20
Dr. S. Selwarathnam 56 91 108 105 0 0 134 16
88 143 257 186 0 0 266 36
Eye Surgery
Dr. N.S. Senanayaka 285 0 160 54 0 0 391 0
Dr. Sririharanathan 50 0 3 17 0 0 36 0
Dr. Mrs. W.M.S.P.K. Samarakoon 17 0 1 0 0 0 18 0
Dr. Mrs.D. Beminiwaththa 90 0 135 36 0 0 189 0
442 0 299 107 0 0 634 0
Gastro Intestinal Surgery
Dr. D.T. Amal Priyantha 18 1 6 12 11 0 2 0
18 1 6 12 11 0 2 0
General Surgery
Dr. R.J.K. Senewirathna 131 34 474 117 29 0 380 113
Dr. P.R. Pitigalaarachhi 88 22 432 79 52 0 352 59
Dr. S.M.M. Niyas 73 28 361 64 38 0 329 31
292 84 1267 260 119 0 1061 203
Gynaecological Surgery
Dr. W.S. Hemapriya 48 16 72 105 29 0 2 0
Dr. G.H.K.K. Gunawardana 29 7 92 115 12 1 0 0
Dr. W. Abeykoon 30 16 85 106 23 1 1 0
107 39 249 326 64 2 3 0
Gyn-Onco Surgery
Dr. B.J.B. Alagoda 4 0 7 10 1 0 0 0
Dr.R.Manathunga 2 0 0 2 0 0 0 0
6 0 7 12 1 0 0 0
Nephro Surgery
Dr. P.K. Harischandra 13 3 16 14 0 0 18 0
Dr. D.C.P. Fernando 9 0 0 9 0 0 0 0
22 3 16 23 0 0 18 0
2013 December Page 11Health Information and Research Unit - TH Kandy
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Neuro Surgery
Dr. D.R.P.A. Wickramasingha 106 0 21 87 1 0 39 0
Dr. W.D.L. Siriwardhana 29 11 24 40 0 0 19 5
135 11 45 127 1 0 58 5
Obstetric
Dr. W.S. Hemapriya 123 0 0 9 112 2 0 0
Dr. G.H.K.K. Gunawardana 140 0 0 4 129 7 0 0
Dr. W. Abeykoon 76 0 0 5 69 2 0 0
339 0 0 18 310 11 0 0
Onco Surgery
Dr.R.Manathunga 34 5 9 41 1 1 5 0
34 5 9 41 1 1 5 0
Orthopaedic Surgery
Dr. G.S. Edirisingha 62 31 150 100 45 0 85 13
Dr. B.M.S. Udagedara 65 31 154 114 59 5 40 32
127 62 304 214 104 5 125 45
Paediatric Surgery
Dr. D.T. Amal Priyantha 0 1 0 1 0 0 0 0
Dr. R.J.K. Senewirathna 4 0 1 5 0 0 0 0
Dr. P.D.R. Sisil Kumara 28 2 19 49 0 0 0 0
Dr. Mrs. S.N.K. Kiriwattuduwa 0 0 3 0 0 0 0 3
Dr. G.D.L.P.K. Jayawardana 29 20 24 73 0 0 0 0
Dr.M.Medagama 0 0 1 0 0 0 0 1
61 23 48 128 0 0 0 4
Plastic Surgery
Dr. Mrs. D. Kanapatipillaie 9 0 2 8 1 0 2 0
9 0 2 8 1 0 2 0
Urological Surgery
Dr.M.Herath 66 58 93 73 50 0 94 0
66 58 93 73 50 0 94 0
Vascular Surgery
Dr. D.C.P. Fernando 9 17 7 0 9 0 17 7
2013 December Page 12Health Information and Research Unit - TH Kandy
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Dr. D.C.P. Fernando 3 0 0 2 1 0 0 0
12 17 7 2 10 0 17 7
Dental & Maxilofacial Surgery
Dr. Mrs. W.M.S.D. Abeyrathna 9 1 79 15 0 0 74 0
9 1 79 15 0 0 74 0
1812 447 2691 1600 672 19 2359 300
ANAESTHESIA STATISTICS
Category GA Spinal Epidural Local Without Consultant Anaesthetists Total
Anaesthesia Common Dr. M.N.J. Perera
Dr. Mrs D.P.A.K. Vithana
Dr. S.A.S. Karunatilaka
Dr. Miss W.P.M.S.C. Fernando
Dr. C.V. Uduvela
1297 672 19 2340 291 4619
Cardiothoracic Dr. Mrs. K.U.J.N.C. Perera
Dr. C.V. Uduvela
48 0 0 0 0 48
GASTRO INTESTINAL
Test Dr_ Amal Priyantha
Total
Dr_ Udaya Kalubowila
Total
Dr_RJK Senavirathna
Total
Dr_P Pitigalaarachchi
Total
Dr_SMM Niyaz
Total
Dr_R Manathunga
Total
0 0 0 0 0 2bronchoscopy
0 1 0 0 0 0Clip Application
9 21 16 8 7 9Colonoscopy
0 1 0 0 0 0Glue Injection
0 0 0 0 0 0PEG
10 13 37 3 16 3Sigmoidoscopy
0 0 0 0 0 0Stening
2 7 0 0 0 0UGIE Banding
1 0 0 0 0 0UGIE ST
2 1 0 0 0 0Upper GI Dilation
69 106 38 12 37 12Upper GI Endoscopy
93 150 91 23 60 26
2013 December Page 13Health Information and Research Unit - TH Kandy
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MATERNITY STATISTICS
MATERNITY STATISTICS WD_5 WD_6 WD_7
Resources
Beds 101 108 72
No of labour room beds 8 12 11
No of labour rooms 1 1 1
Admissions
Maternal Inpatients days 3960 3342 1688
No of Admissions 456 459 313
Deliveries
No of Deliveries 359 373 243
No of Deliveries - Singale 353 371 239
No of Deliveries Twin 6 2 4
No of given B.C.G 374 391 254
Mode of Delivery
Breech Delivery 1 1 2
Caesarean section rate % 40 33 32
Forceps Delivery 8 7 4
Lower segment caesarean section - EM 110 82 41
Lower segment caesarean section EL 34 42 38
Normal Delivery 208 241 167
Others 0 1 0
Births
No of live Births - Birth Weight >2500 g 287 309 201
No of live Births - Births Weigth < 2500 g 76 62 44
Still Births 2 4 2
Complications
Anti partum Haemorrhage 0 4 2
Neuro Surgery Dr. R.K.Weerakoon
127 0 0 19 5 151
Paediatric Surgery Dr. Mrs. S.N.K. Kiriwattuduwa
128 0 0 0 4 132
1600 672 19 2359 300 4950
ANAESTHESIA FOR ECT SERVICE
Male Female Total
62 113 175
2013 December Page 14Health Information and Research Unit - TH Kandy
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Ectopic pregnancy 0 0 1
Manual removal of placenta 5 7 4
Post partum Heamorrhage 0 0 2
Ruptured uterus 0 0 0
Deaths
Early Neonatal Death rate % 0 0.53 0
Early Neonatal deaths 0 2 0
Still Birth rate % 0.54 1.06 0.81
MATERNAL DEATHS AT OTHER UNITS
Unit Transferred From Count
SICU Gampola 1
WD 05 Puththalam 1
LACTATION MANAGEMENT CENTRE
WD RoundOut Side Self Visits Total Subsequent
visits
Total 1st visits
In Side Non Admissions
1st sub 1st sub 1st sub 1st sub
Reason for Referal
Difficult Attachments 0 2 15190 2 9 68 7
Feeling of not enough milk flow 1 0 18280 0 27 180 0
Infrequent suckling 2 2 22302 2 18 138 5
Poor Weight Gain 2 0 23232 0 0 021 21
Incorrect Burping Technique 0 0 000 0 0 00 0
Vomiting 0 1 060 0 0 05 0
5 5 781064 4TOTAL 11954 3742 33
Final Dignosis
Flat or Inverted Nipples 0 1 880 1 6 61 1
Engorged Breast 0 0 030 0 3 00 0
2013 December Page 15Health Information and Research Unit - TH Kandy
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TRANSFUSION MEDICINE
Large or small Breast 0 0 010 0 0 01 0
Cleft palate + / - cleft Lip 0 0 660 0 0 06 6
Cracked Nipples 0 1 110 1 0 00 0
Lack for demand feeding 5 2 63834 2 45 3131 26
Other Dignosis 0 3 0120 0 0 09 0
Other Dignosis 0 2 080 0 0 06 0
5 9 781224 4TOTAL 11454 3754 33
PHYSIOTHERAPY DEPARTMENT
VISITS MALE FEMALE MALE FEMALE
OPD WARDS
MALE FEMALE
Total
number of first visits 311 284 397 655 708 939
Number of subsequent visits 1,734 2,033 1,507 1,897 3,241 3,930
2,045 2,317 1,904 2,552 3,949 4,869
Total Number of Therapy Units 4,369 4,538 7,951 9,440 12,320 13,978
4,369 4,538 7,951 9,440 12,320 13,978
OCCUPATIONAL THERAPY UNIT
VISITS MALE FEMALE MALE FEMALE
OPD WARD
MALE FEMALE
Total
number of first visits 1 1 25 35 26 36
Number of subsequent visits 10 4 95 100 105 104
SPEECH AND LANGUAGE THERAPY
First Visit Subsequent Visit
MALE FEMALE MALE FEMALE
123 128 129 161Number of Patient Visits
251 290
541
2013 December Page 16Health Information and Research Unit - TH Kandy
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TRANSFUSION MEDICINE
PERFORMED BLOOD GROUPING TESTS
Samples From Number
Ante Natal Clinics 266
Blood Donors 2,451
OPD 49
Other 0
Patients 6,361
Private section 1
9,128
REQUESTS AND ISSUES OF RED CALL CONUNTRATE AND
PRODUCTS
RCC
R C/M I
FFP
R I
PLT
R I
Cryo
R I
CSP
R I
Plasma
R I
Buffy
R I
Type
1809 1706 810 419 352 490 449 410 371 8 8 0 0 0 0Medical Wards
2086 1886 240 374 353 94 89 32 32 0 0 0 0 0 0Surgical Wards
COLLECTION SUMMARY
Type Total
No of 1st time donors 572
No. of Mobile Programmes 19
No of repeat donors 1,323
Total no of units collected 1,895
No of in home donars + Mobile Donar 1,895
No of apheresis donors 0
SPECIAL PROCEDURES
Procedure Menual Automated Total
Therapeutic Plasma Exchange patients 3 8 11
Therapeutic Plasma Exchange cycles 3 43 46
2013 December Page 17Health Information and Research Unit - TH Kandy
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NOTIFIABLE DISEASES
NOTIFIABL DISEASES
DISEASE MOH AREA NO OF CASES NUMBER OF DEATHS
Dengue Fever
MC Kandy 8 0
Others 6 0
Poojapitiya 6 0
Wattegama (Pathadumbara) 5 0
Kundasale 3 0
Harispattuwa (Werellagama) 3 0
Gangawatakorale (University park) 2 0
Doluwa (Hindagala Project) 1 0
Yatinuwara 1 0
Talatuoya (Pathahewaheta) 1 0
1228 1145 110 13 13 4 4 4 4 0 0 0 0 0 0Gyn & Obs Wards
412 412 228 80 75 44 44 0 0 0 0 0 0 0 0Paediatric Wards
369 369 70 312 35 350 53 90 90 0 0 0 0 0 0Cardiothoracic
413 413 145 638 607 225 220 321 321 130 130 0 0 0 0A & E/ICU
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0Othopaedic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0Vascular
703 0 60 184 184 259 259 320 320 15 15 0 0 0 0Other Wards
232 232 89 18 18 29 29 0 0 0 0 0 0 0 0Private Hospital
7252 6163 1752 2038 1637 1495 1147 1177 1138 153 153 0 0 0 0Total
R - Received , I - Issued , CM - Cross Matched
SCREENING TESTS DONE FOR TRANSFUSION
TRANSMITTED INFECTIONS
HIV
ECI ELISA RAPID
P_AGGLUT
IN
HBs Ag
ECI ELISA P_AGGLUT
IN
RAPID
HCV
ECI ELISA RAPID
VDRL
CARDIOLIPIN
CARBON AG
Type
1765 1226 1765 1226 2991
2Total No of units screened
2 10 4 2Total no of screening +ve
2013 December Page 18Health Information and Research Unit - TH Kandy
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JUDICIAL MEDICINE
Hasalaka (Minipe) 1 0
Galagedara ( Tumpane) 1 0
Akurana 1 0
Medadumbara/Medamahanuwara 1 0
Ududumbara 1 0
Walapane 1 0
42 0
Dysentery
Wattegama (Pathadumbara) 1 0
MC Kandy 1 0
2 0
Food Poisoning
Kundasale 1 0
1 0
Leptospirsis
Harispattuwa (Werellagama) 1 0
Hataraliyadda 1 0
Others 1 0
3 0
Meningitis
Wattegama (Pathadumbara) 1 0
1 0
Typhoid Fever
Talatuoya (Pathahewaheta) 1 0
Walapane 1 0
Hanguranketha 1 0
3 0
Typhus Fever
Talatuoya (Pathahewaheta) 1 0
Others 1 0
2 0
Viral Hepatitis
Others 2 0
Talatuoya (Pathahewaheta) 1 0
3 0
57 0
2013 December Page 19Health Information and Research Unit - TH Kandy
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JUDICIAL MEDICINE
DEPARTMENT OF JUDICIAL MEDICINE
Reasons Male Female
medico-legal examinations
Wards 150 56
OPD 231 2
381 58TOTAL
postmortum examinations
Natural deaths 72 27
Road traffic Accidents 10 3
Suicide 1 0
Accidental 4 0
Train Accidents 0 0
Others 3 1
90 31TOTAL
2013 December Page 20Health Information and Research Unit - TH Kandy
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TRANSFERS FROM OUTSIDE
TRANSFERS FROM OTHER HOSPITALS
HOSPITALS NO OF TRANSFERS
Central Province
Kandy
Akurana 97
Ankubura 87
Bambaradeniya 9
Bokkawela 59
Cancer - Home 1
Deltota 32
Digana Rajawella 5
Galagedara 81
Galaha 16
Galpihilla 5
Gampola 106
Gelioya 1
Hataraliyadda 38
Jambugahapitiya 24
Kadugannawa 14
Katugastota 33
Kotaligoda 7
Lake Side 1
Madolkele 52
Mampitiya 9
Manikhinna 73
Marassana 32
Medamahanuwara 22
Medawala 64
Minipe 1
Muruthalawa 2
Narampanawa 3
Nawalapitiya 71
Pattiyagama- pallegama 1
Peradeniya 132
Sangarajapura 9
Teldeniya 117
Thalathuoya 41
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Thiththapajjala 69
Ududumbara 26
Uduwela 26
Wattappola 3
Wattegama 31
Yakgahapitiya 14
Matale
Dambulla ( Dencil Kobbekaduwa ) 28
Hadungamuwa 1
Matale 100
Nalanda 3
Nuwaraeliya
Dickoya 49
Gonagastenna 35
Gonapitiya 4
Haguranketha 23
Mathurata 23
Muloya 16
Nuwara Eliya 37
Rikillagaskada 174
Walapane 19
Eastern Province
Ampara
Ampara 19
Kalmunai North 8
Mahaoya 1
Batticaloa
Batticaloa 11
Trincomalee
Kanthalai 5
Trincomalee 42
North Central Province
Anuradhapura
Anuradhapura 20
Polonnaruwa
Medirigiriya 4
Polonnaruwa 45
North Western Province
Kurunegala
Kuliyapitiya 4
Kurunegala 32
Nikaweratiya 1
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Northern Province
Vauniya
Vavuniya 7
Sabaragamuwa Province
Kegalle
Kegalle 67
Mawanella 21
Narangoda 1
Warakapola 1
Uva Province
Badulla
Badulla 26
Bibilegama 2
Diyatalawa 4
Girandurukotte 2
Mahiyangana 41
Monaragala
Monaragala 7
Western Province
Colombo
National Hospital Colombo 2
SUMMARY OF TRANSFERS
Central Province 1926
Kandy 1414
Matale 132
Nuwaraeliya 380
Eastern Province 86
Ampara 28
Batticaloa 11
Trincomalee 47
North Central Province 69
Anuradhapura 20
Polonnaruwa 49
North Western Province 37
Kurunegala 37
Northern Province 7
Vauniya 7
Sabaragamuwa Province 90
Kegalle 90
Uva Province 82
Badulla 75
Monaragala 7
Western Province 2
Colombo 2
2299TOTAL
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COUNCELLING AND HEALTH EDUCATION
HOSPITAL DEATHS
MITHURU PIYASA
TYPE NUMBER
Domestic violence 8
Other 1
Sexual Abuse 8
TOTAL 17
HEALTH EDUCATION
Programme count
For mothers
"Kuludul ma piya hamuwa" programs 3
Breast feeding councelling 188
191TOTAL
For Patients
Addressing O.P.D. patients for oriantate to the hospital services & given massges
26
Individual counseling for clients 16
Lecturing at Clinics 18
60TOTAL
For School Children
Addressing on A/L students' projects 1
1TOTAL
For Staff
Inservice education programs for the staff 1
Special Day Programmes 1
2TOTAL
Others
First-aid training programme for 'saukyuadana' 2
2TOTAL
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INVESTIGATIONS
CARDIOLOGY UNIT X - RAY
INVESTIGATION TOTAL
X-Ray
Other X Rays 37
In Ward Chest X Ray 511
Pace Makers
Permanent Pace Makers 11
Temporary Pace Makers 24
Angiograms
Autogram 2
RHCC 6
PTMC 6
PCI 30
Coronary Angiograms 178
Devices
HOSPITAL DEATHS
Hospital Death Male Female Total
Total No. of. Hospital daeths (Inpatients) 163 105 268
Number of deaths on admission 15 4 19
Number of ETU deaths 8 6 14
Deaths within 24 hours of admission 32 29 61
Deaths within 48 hours of admission 22 12 34
Deaths after 48 hours of admission 109 64 173
HOSPITAL DEATHS BY AGE
Age Group TOTAL
Age N/A 3
70+ 77
50-69 130
17-49 34
5-16 6
1-4 0
-
ASD device closure 3
Used Films
15 x 12 73
14 x 14 320
17 x 14 171
RADIOLOGY UNIT X - RAY
Patient Category
No.Of Wards Cases 10,385
No.of O.P.D & Clinics Cases done 1,070
11,455
CARDIOLOGY UNIT ECG
TYPE TOTAL
ECG
EX.E.C.G 240
HOLTER RECORDING 105
IN WARD WALKING E.C.G. 487
CLINIC - E.C.G. 306
PPM
P.P.M. IMPLANTING 10
CATH LAB
CATH LAB CASES 220
C. L. C. ANGIO 178
C.L.C. PCI 30
C.L.C. RTMC 6
Others 6
CARDIAC INVESTIGATION UNIT (ECHO)
Echo Male Femele TOTAL
Trans Thoracic Echocardiogram 699 841 1540
Dobutamine Stress Echo 1 1 2
Constrast TOE 4 5 9
Contrast 5 7 12
Trans Oesophagial 21 35 56
730 889 1619
2013 December Page 26Health Information and Research Unit - TH Kandy
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X-Ray
Shoulder /Extremities 2,036
Neck/Spine 1,652
Skull/Mandible 1,043
Abdo/GU/Pelvis 833
Chest 3,960
Mammogram 150
IVP 43
9,717
Radiological Procedure
Myelogram 1
Carotoid Angiogam 5
Sialogram 1
Loopogram 1
Cystogram 1
Retrograde Pyelogram 5
Myelogram 4
Sinogram 2
Fistulogram 1
MCUG 4
Urethrogram 5
HSG 4
BA Enema Screening 10
BA Swallow Screening 35
BA Meal Screening 4
BA Swallow 4
87
US Scans
Dopler Scan 25
USS Brain 17
USS Breast 70
US Guided Biopsy 3
US Guided Aspiration 10
Abdominal Duplex 38
Venous Duplex 42
Carotid Duplex 26
USS Extrimities 65
USS Chest 83
USS Abdomen 964
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1,343
CT images
Colonscopy 2
LL Angiogam 4
CT Coronary Angiogram 1
CT Cerebral Angiogram 28
CT Pulmonary Venogram 1
CT Guided Biopsy 3
CT Pulmonary Angiogram 3
CT Renal Angiogram 7
CT Aortogram 14
HRCT 22
CT Extrimities 26
CT Abdomen 290
CT Chest 175
CT Neck / Cervical 363
CT Brain 1,775
2,714
MRI
MRI 244
244
Used Films
10 x 08 258
12 x 10 1,682
15 x 12 2,985
14 x 14 627
17 x 14 3,706
9,258
EEG and ECG
TYPE MALE FEMALE MALE FEMALE
INDOOR PATIENTS OUTDOOR PATIENTS
MALE FEMALE
TOTAL PATIENTS
(VEP) 4 6 4 7 8 13
2013 December Page 28Health Information and Research Unit - TH Kandy
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(E.E.G) 59 54 70 79 129 133
(E.C.G) 3,064 3,306 679 708 3,743 4,014
LABORATORY INVESTIGATIONS
Biochemistry Lab
Blood & CFS Sugar 10688
Blood Urea 8981
se.Creatinine 8436
S.G.P.T 8246
K+ 8165
Na+ 8156
S.G.O.T 7936
Bilirubin 4137
Se.Protein 2379
Alkaline Phosphatase 1911
GGT 1391
Se.Cholesterol 1154
TSH 916
Triglyccerides 815
HDL 805
Se.Calcium 720
FT4 520
Se.Phosphorus 460
CK 353
Se.Uric Acid 339
Se.Magnesium 272
EGFR 210
EGFR 210
Ferritin 200
FT3 160
Amylase 152
Iron 149
Lithium 124
Prolactin 123
CA 125 108
Troponin I 103
FSH 99
LH 92
PSA 84
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Se.Proten Electrophoresis 70
Beta HCG 57
TIBC 55
BJP 40
CEA 33
AFP 18
Urinary Calcium 10
Createnine Clearance 10
CKMB 10
U.Protein 10
Cryoglobulin 5
78912
Cancer Unit Lab
WBC/DC 1200
HB 1200
Platelet Count 1150
ESR 160
3710
Dialysis Unit Lab
se.Creatinine 3873
FBC 3205
UFR 2612
Na+ 2094
K+ 2094
Blood Urea 1061
Albumin 801
Se.Protein 801
Calcium 696
Phosphate 627
Alkaline Phosphatase 539
Uric Acid 453
ESR 367
BT/CT 315
Protein Creatin Ratio 212
Createnine Clearance 180
Bilirubin 89
Ferritin 70
Cycloprotein 60
TIBC 56
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Hepatitis C 56
Iron 56
Hepatitis B 55
CRP 42
24 H's U.Protein 26
Createnine Clearance 26
BJP 15
20481
Emergency Lab
FBC 4760
Na+ 4200
K+ 4160
Blood Urea 3296
S.G.P.T 1880
S.G.O.T 1840
PTT 1566
Blood Sugar 1440
BT/CT 112
HB 102
CSF 34
23390
Haematology Lab
FBC 16957
Prothrombin Time & INR 3671
Blood Picture 2012
ESR 1755
HB 1052
BT/CT 482
Retic Count 443
PTTK 376
HBA1C 198
Hb A2 Estimation 68
Bone Marrow 50
Trombo Elastrometry 26
PCV 17
GPD Screening 11
Se.Protein 9
Protein C 9
Haemosiderin Urea 3
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Sickling Test 3
Heam Test 3
Osmotic Fragility 1
HbH 1
HBA1C 1
HB Electrophoresis 1
27149
Histology & Pathology Lab
Section Slides 6020
Biopsy 1074
Immunology 485
PAP 275
Fine Needle Aspiration 204
Cytology 128
8186
Microbiology Lab
Direct Smears 3200
Albumin 2059
Urine Culture & ABST 1792
Blood Culture & ABST 1245
Pus Culture & ABST 822
MRSA Screaning 610
Sputum Culture & ABST 370
Fungal Studies 320
CSF & ABST +Fluid ABST 240
CSF & Body Fluids FR 216
Sputum AFB 170
H.pylori 68
Stool Culture & ABST 14
Salmonella Shigella Detection 10
Leprosy 8
CSF Antigen 6
Vaginal Smears 6
Seminal Antibody test 6
Bacterial Antigen Test 4
API 3
11169
OPD Lab
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WBC/DC 4500
Platelet Count 4400
UFR 4200
Urine Sugar 1650
Specific Gravity 1200
BT/CT 92
Urine Bile 85
Acetone 85
Stool FR 80
Urobilinogen 80
16372
LAB INVESTIGATIONS SUMMARY December2013
NAME OF THE TEST TOTAL TESTS 2624 H's U.Protein
85Acetone 18AFP
2860Albumin 2450Alkaline Phosphatase
152Amylase 3API
4Bacterial Antigen Test 57Beta HCG
4226Bilirubin 1074Biopsy
55BJP 10688Blood & CFS Sugar
1245Blood Culture & ABST 2012Blood Picture
1440Blood Sugar 13338Blood Urea
50Bone Marrow 1001BT/CT
108CA 125 696Calcium
33CEA 353CK
10CKMB 216Createnine Clearance
42CRP 5Cryoglobulin
34CSF 240CSF & ABST +Fluid ABST
216CSF & Body Fluids FR 6CSF Antigen
60Cycloprotein 128Cytology
3200Direct Smears 420EGFR
2282ESR 24922FBC
270Ferritin 204Fine Needle Aspiration
99FSH 160FT3
520FT4 320Fungal Studies
1391GGT 11GPD Screening
68H.pylori 3Haemosiderin Urea
2354HB 68Hb A2 Estimation
1HB Electrophoresis 199HBA1C
1HbH 805HDL
3Heam Test 55Hepatitis B
56Hepatitis C 485Immunology
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EXPENSES FOR THE MONTH
205Iron 14419K+
8Leprosy 92LH
124Lithium 610MRSA Screaning
14450Na+ 1Osmotic Fragility
275PAP 17PCV
627Phosphate 5550Platelet Count
123Prolactin 9Protein C
212Protein Creatin Ratio 3671Prothrombin Time & INR
84PSA 1566PTT
376PTTK 822Pus Culture & ABST
443Retic Count 9776S.G.O.T
10126S.G.P.T 10Salmonella Shigella Detection
720Se.Calcium 1154Se.Cholesterol
12309se.Creatinine 272Se.Magnesium
460Se.Phosphorus 3189Se.Protein
70Se.Proten Electrophoresis 339Se.Uric Acid
6020Section Slides 6Seminal Antibody test
3Sickling Test 1200Specific Gravity
170Sputum AFB 370Sputum Culture & ABST
14Stool Culture & ABST 80Stool FR
111TIBC 815Triglyccerides
26Trombo Elastrometry 103Troponin I
916TSH 10U.Protein
6812UFR 453Uric Acid
10Urinary Calcium 85Urine Bile
1792Urine Culture & ABST 1650Urine Sugar
80Urobilinogen 6Vaginal Smears
5700WBC/DC
MONTHLY EXPENDITURE
Expenditure Details Total
Hospital
Recurrent
Allowances 78,821,316.33
Constructions 14,247,242.52
Electricity & water 10,773,858.53
Food 9,678,535.38
Fuel & Lubricants 387,227.30
Loan interest 4,196,785.62
Medical supplies 10,771,681.63
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Other Contractual services 286,556.50
Others 411,023.20
Overtime & Holiday pay 68,913,815.03
Salaries 93,636,447.17
Stationary & Consumable 4,845,637.20
Telecommunication & postal 188,559.30
Travelling expenses 14,170.00
Vehicles repairs 535,624.42
297,708,480.13
Capital
Buildings 10,935,834.31
Furniture 3,943,437.50
Medical equipment 4,415,135.00
Others 9,075,797.54
28,370,204.35
326,078,684.48
Blood Bank
Recurrent
Fuel & Lubricants 60,000.00
Loan interest 32,549.30
Overtime & Holiday pay 761,288.00
Salaries 843,455.00
Travelling expenses 121,452.50
1,818,744.80
1,818,744.80
NTS
Recurrent
Allowances 13,178,674.50
Electricity & water 31,224.39
Fuel & Lubricants 658,510.05
Loan interest 44,674.51
Overtime & Holiday pay 312,834.00
Salaries 959,281.50
Telecommunication & postal 6,848.09
Travelling expenses 103,537.00
15,295,584.04
15,295,584.04
Other
Other
Advance B a/c 2,197,800.00
Public Deposits 3,474,363.73
5,672,163.73
5,672,163.73
348,865,177.05
2013 December Page 35Health Information and Research Unit - TH Kandy
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2013 December Page 36Health Information and Research Unit - TH Kandy