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Table 4 Five leading causes of admission to hospital up to 5 years of age, by diagnostic category, births 1980–1995

From: A retrospective population-based study of childhood hospital admissions with record linkage to a birth defects registry

Diagnostic Category1

ICD-9

Prinicipal Diagnosis

No. Adm

(% Adm)

No. Chn Adm

(% Chn Adm)

Adm/Ch Adm

Mean LOS

Cardiovascular Defects

745

Bulbus cordis anomalies and anomalies of cardiac septal closure

1,226

(13.2)

635

(9.7)

1.9

5.5

   9,259 admissions

747

Other congenital anomalies of circulatory system

491

(5.3)

363

(5.6)

1.4

5.8

   2,010 children admitted

746

Other congenital anomalies of heart

408

(4.4)

266

(4.1)

1.5

5.4

 

465

Acute upper respiratory infections of multiple or unspecified sites

368

(4.0)

233

(3.6)

1.6

4.0

 

493

Asthma

367

(4.0)

164

(2.5)

2.2

2.8

Chromosome Defects

381

Nonsuppurative otitis media and Eustachian tube disorders

213

(7.2)

135

(6.7)

1.6

0.6

   2,964 admissions

745

Bulbus cordis anomalies and anomalies of cardiac septal closure

156

(5.3)

82

(4.1)

1.9

4.9

   528 children admitted

519

Other diseases of respiratory system

153

(5.2)

72

(3.6)

2.1

5.8

 

465

Acute upper respiratory infections of multiple or unspecified sites

146

(4.9)

81

(4.0)

1.8

4.5

 

464

Acute laryngitis and tracheitis

138

(4.7)

81

(4.0)

1.7

2.5

CA of Ear, Face and Neck

744

Congenital anomalies of ear, face and neck

84

(16.8)

72

(18.4)

1.2

1.8

   500 admissions

465

Acute upper respiratory infections of multiple or unspecified sites

30

(6.0)

11

(2.8)

2.7

6.2

   139 children admitted

381

Nonsuppurative otitis media and Eustachian tube disorders

28

(5.6)

23

(5.9)

1.2

0.6

 

493

Asthma

15

(3.0)

7

(1.8)

2.1

5.4

 

550

Inguinal hernia

15

(3.0)

13

(3.3)

1.2

2.7

CA of Eye

743

Congenital anomalies of eye

496

(24.8)

183

(14.5)

2.7

2.3

   2,001 admissions

381

Nonsuppurative otitis media and Eustachian tube disorders

79

(4.0)

53

(4.2)

1.5

0.8

   356 children admitted

493

Asthma

61

(3.1)

24

(1.9)

2.5

2.8

 

465

Acute upper respiratory infections of multiple or unspecified sites

57

(2.9)

38

(3.0)

1.5

5.9

 

783

Symptoms concerning nutrition, metabolism and development

47

(2.4)

31

(2.5)

1.5

6.4

CA of Integument

228

Haemangioma and lymphangioma, any site

266

(13.8)

188

(14.3)

1.4

3.1

   1,935 admissions

757

Congenital anomalies of the integument

241

(12.5)

83

(6.3)

2.9

0.8

   546 children admitted

216

Benign neoplasm of skin

84

(4.3)

59

(4.5)

1.4

3.3

 

493

Asthma

71

(3.7)

39

(3.0)

1.8

2.2

 

780

General symptoms

65

(3.4)

43

(3.3)

1.5

2.1

Gastro-Intestinal Defects

749

Cleft palate and cleft lip

922

(11.2)

557

(9.3)

1.7

8.8

   8,205 admissions

750

Other congenital anomalies of upper alimentary tract

873

(10.6)

766

(12.8)

1.1

4.8

   1,947 children admitted

381

Nonsuppurative otitis media and Eustachian tube disorders

496

(6.1)

342

(5.7)

1.5

0.7

 

751

Other congenital anomalies of digestive system

439

(5.4)

284

(4.7)

1.5

9.3

 

493

Asthma

283

(3.5)

123

(2.1)

2.3

2.4

Musculo-Skeletal Defects

754

Certain congenital musculoskeletal deformities

1,140

(11.3)

656

(9.1)

1.7

3.6

   10,049 admissions

V54

Other orthopaedic aftercare

420

(4.2)

270

(3.8)

1.6

1.4

   2,610 children admitted

493

Asthma

368

(3.7)

180

(2.5)

2.0

2.7

 

756

Other congenital musculoskeletal anomalies

352

(3.5)

263

(3.7)

1.3

6.2

 

381

Nonsuppurative otitis media and Eustachian tube disorders

326

(3.2)

235

(3.3)

1.4

0.9

Nervous System Defects

742

Other congenital anomalies of nervous system

311

(6.3)

190

(5.8)

1.6

6.4

   4,968 admissions

996

Complications peculiar to certain specified procedures

252

(5.1)

115

(3.5)

2.2

8.9

   786 children admitted

780

General symptoms

227

(4.6)

139

(4.3)

1.6

3.7

 

345

Epilepsy

220

(4.4)

70

(2.2)

3.1

10.2

 

741

Spina bifida

168

(3.4)

102

(3.1)

1.6

7.6

Respiratory System Defects

748

Congenital anomalies of respiratory system

84

(10.0)

45

(9.0)

1.9

7.4

   838 admissions

519

Other diseases of respiratory system

72

(8.6)

25

(5.0)

2.9

8.2

   117 children admitted

465

Acute upper respiratory infections of multiple or unspecified sites

40

(4.8)

17

(3.4)

2.4

6.5

 

464

Acute laryngitis and tracheitis

34

(4.1)

16

(3.2)

2.1

1.5

 

381

Nonsuppurative otitis media and Eustachian tube disorders

34

(4.1)

19

(3.8)

1.8

1.2

Uro-Genital Defects

752

Congenital anomalies of genital organs

3,524

(22.2)

2,879

(23.3)

1.2

2.5

   15,855 admissions

599

Other disorders of urethra and urinary tract

675

(4.3)

449

(3.6)

1.5

4.4

   4,959 children admitted

593

Other disorders of kidney and ureter

671

(4.2)

510

(4.1)

1.3

5.6

 

493

Asthma

613

(3.9)

296

(2.4)

2.1

2.2

 

550

Inguinal hernia

457

(2.9)

422

(3.4)

1.1

1.6

Other Major Defects 2

277

Other and unspecified disorders of metabolism

319

(3.3)

110

(1.9)

2.9

11.4

   9,575 admissions

519

Other diseases of respiratory system

313

(3.3)

157

(2.7)

2.0

7.9

   1,665 children admitted

493

Asthma

287

(3.0)

130

(2.2)

2.2

3.1

 

780

General symptoms

281

(2.9)

186

(3.2)

1.5

3.5

 

783

Symptoms concerning nutrition, metabolism and development

274

(2.9)

185

(3.2)

1.5

6.2

All Major Birth Defects

752

Congenital anomalies of genital organs

3,568

(7.1)

2,916

(8.0)

1.2

2.5

   50,432 admissions

493

Asthma

1,903

(3.8)

883

(2.4)

2.2

2.5

   13,368 children admitted

381

Nonsuppurative otitis media and Eustachian tube disorders

1,594

(3.2)

1,152

(3.2)

1.4

0.8

 

465

Acute upper respiratory infections of multiple or unspecified sites

1,457

(2.9)

904

(2.5)

1.6

2.6

 

780

General symptoms

1,278

(2.5)

1,032

(2.8)

1.2

3.7

Comparison Group

493

Asthma

27,584

(8.3)

14,229

(5.1)

1.9

2.2

   334,061 admissions

780

General symptoms

16,930

(5.1)

13,396

(4.8)

1.3

2.0

   154,517 children admitted

V65

Other persons seeking consultation without complaint or sickness

13,930

(4.2)

11,549

(4.1)

1.2

3.3

 

466

Acute bronchitis and bronchiolitis

13,913

(4.2)

11,058

(4.0)

1.3

3.9

 

464

Acute laryngitis and tracheitis

12,192

(3.6)

10,064

(3.6)

1.2

1.8

  1. 1 A child may be in more than one diagnostic category of major birth defects
  2. 2 These include: other and unspecified congenital anomalies, cystic fibrosis, hereditary haemolytic anaemias, congenital hypothyroidism, coagulation defects, neurofibromatosis, and muscular dystrophies and other myopathies
  3. CA = congenital anomalies