Table 8.

Ten Most Frequent Principal Diagnoses* Among Children and Adolescent Discharges Compared With Adults, 1996

DiagnosesChildren and Adolescents
Number of Discharges in Thousands
(% of Discharges in This Age Category)
Adults
(Age 18+)
Less than
1 Year
1–4
Years
5–9
Years
 10–14
 Years
15–17
Years
Liveborn infant (218)*3827 
(86.6) 
Perinatal conditions (includes 222, 224, 219)113 
(2.6) 
Infections, excluding perinatal infections and 224 22360131047
 including fluid and electrolyte disorders (includes CCS codes 7, 55, 122, 125, 126, 135, 159, 197)(5.0) (41.5)(18.6)(3.7)(3.7)
128 Asthma17 644026
(.4) (11.9)(12.6)(7.5)
Other conditions (includes CCS codes 45, 50, 83, 154)402316
(7.4)(7.2)(4.7)
142 Appendicitis162919
(5.0)(8.4)(3.5)
Injury (includes CCS codes 229, 230, 233)1128
(3.4)(8.0)
Mental health (includes CCS codes 68 and 74)3243523
(9.4)(8.1)(1.8)
Pregnancy and delivery (includes CCS
1601200
 codes 181, 184, 190, 192, 193, 195, 196)(30.1)(4.2)
Cardiovascular disease (includes CCS
4371
 codes 100, 101, 106, 108, 109(15.2)
127 Chronic obstructive pulmonary
542
 disease and bronchiectasis(1.9)
Percent of discharges with diagnoses
in the top 10
94.6 60.846.841.741.726.8
  • * Diagnoses are first-listed diagnoses (ICD-9-CM codes) categorized using Clinical Classification Software (CCS): 7 Viral infections, 45 Chemotherapy, 50 Diabetes mellitus with complications, 55 Fluid and electrolyte disorders, 68 Affective disorders (primarily depression), 74 Other mental conditions (adjustment reactions and depressive disorder not elsewhere classified), 83 Epilepsy, convulsions, 100 Acute myocardial infarction, 101 Coronary atherosclerosis, 106 Cardiac dysrhythmias, 108 Congestive heart failure, 109 Acute cerebrovascular disease, 122 Pneumonia, 125 Acute bronchitis, 126 Other upper respiratory infections (includes croup), 127 Chronic obstructive pulmonary disease and bronchiectasis, 128 Asthma, 135 Intestinal infections, 142 Appendicitis, 154 Noninfectious gastroenteritis, 159 Urinary tract infections, 181 Other complications of pregnancy (includes genitourinary infections, anemia, hyperemesis), 184 Early or threatened labor, 190 Fetal distress and abnormal forces of labor, 192 Umbilical cord complications, 193 Trauma to perineum and vulva (due to childbirth), 195 Other complications of birth affecting the management of the mother, 196 Normal pregnancy and/or delivery, 197 Skin and subcutaneous infections, 218 Liveborn infant, 219 Short gestation, low birth weight, and fetal growth retardation, 222 Hemolytic and perinatal jaundice, 224 Other perinatal conditions (primarily perinatal infections and respiratory conditions, other than respiratory distress), 229 Fracture of upper limb, 230 Fracture of lower limb, 233 Intracranial injury.