急性期一般入院料１の病棟におけるA項目の下位項目
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内科症例で割合が高いA項目の下位項目は、A2呼吸ケア、A6_6免疫抑制剤、A7緊急入院等であった。
入院料算定開始からの日数

Ａ モニタリング及び処置等
1 創傷処置（褥瘡の処置を除く）（※１）
2 呼吸ケア（喀痰吸引のみの場合を除く）（※１）
3 注射薬剤３種類以上の管理（最大７日間）
4 シリンジポンプの管理
5 輸血や血液製剤の管理
6 専門的な治療・処置（※２）
（① 抗悪性腫瘍剤の使用（注射剤のみ）、
② 抗悪性腫瘍剤の内服の管理、
③ 麻薬の使用（注射剤のみ）、
④ 麻薬の内服、貼付、坐剤の管理、
⑤ 放射線治療、
⑥ 免疫抑制剤の管理（注射剤のみ）、
⑦ 昇圧剤の使用（注射剤のみ）、
⑧ 抗不整脈剤の使用（注射剤のみ）、
⑨ 抗血栓塞栓薬の持続点滴の使用、
⑩ ドレナージの管理、
⑪ 無菌治療室での治療）
Ⅰ：救急搬送後の入院（２日間）
7
Ⅱ：緊急に入院を必要とする状態（２日間）

オレンジが外科系、緑が内科系症例の割合。
外科系症例は、Kコードのうち第１節手術料の
算定の有無で判断した。

1

2

3

4

5

6

7

8

9

10

A1
A点数_1以上

1.16%
32.04%

4.15%
63.10%

12.24%
47.21%

12.35%
47.37%

12.51%
47.99%

11.91%
47.21%

11.99%
47.39%

12.63%
43.79%

13.60%
35.70%

12.24%
31.73%

A2
A点数_2以上

5.05%
29.37%

10.98%
57.63%

10.39%
27.75%

6.36%
25.91%

5.52%
23.51%

4.91%
21.63%

4.72%
20.87%

4.70%
19.52%

4.69%
17.05%

4.63%
15.52%

A点数_3以上
A3

20.28%
5.67%

49.05%
19.85%

18.46%
25.40%

16.98%
28.98%

14.52%
31.28%

13.03%
31.67%

12.42%
31.68%

11.30%
26.00%

9.72%
14.08%

8.59%
10.43%

A点数_4以上
A4

7.63%
1.52%

21.28%
2.57%

8.41%
2.67%

7.35%
2.12%

6.16%
1.86%

5.42%
1.67%

5.06%
1.62%

4.55%
1.61%

3.70%
1.60%

3.20%
1.62%

A点数_5点以上
A5

4.63%
1.29%

6.77%
2.13%

2.60%
1.64%

2.05%
1.35%

1.71%
1.20%

1.41%
1.04%

1.31%
1.03%

1.21%
1.05%

1.08%
1.06%

0.94%
1.02%

A点数_1以上
A6_1

55.50%
0.05%

58.33%
0.48%

39.57%
0.15%

40.85%
0.15%

39.53%
0.14%

38.73%
0.15%

37.85%
0.16%

32.06%
0.19%

28.27%
0.20%

26.29%
0.19%

A点数_2以上
A6_2

49.54%
0.00%

50.85%
0.00%

21.23%
0.01%

20.90%
0.01%

18.98%
0.01%

17.66%
0.01%

16.66%
0.01%

14.98%
0.02%

14.64%
0.02%

13.51%
0.02%

A点数_3以上
A6_3

25.09%
5.13%

27.51%
29.75%

12.53%
4.44%

12.44%
3.11%

11.06%
1.95%

10.21%
1.45%

9.56%
1.41%

8.49%
1.54%

7.72%
1.31%

7.28%
1.09%

A点数_4以上
A6_4

12.29%
0.18%

13.39%
0.17%

5.49%
0.19%

5.29%
0.22%

4.57%
0.27%

4.24%
0.31%

4.06%
0.36%

3.51%
0.44%

3.05%
0.48%

2.89%
0.52%

A点数_5点以上
A6_5

6.13%
0.03%

6.06%
0.04%

1.72%
0.05%

1.70%
0.05%

1.53%
0.05%

1.39%
0.06%

1.37%
0.09%

1.18%
0.13%

1.04%
0.15%

1.05%
0.16%

A点数_1
A6_6

2.67%
4.07%

5.47%
11.11%

19.45%
2.14%

21.46%
1.51%

24.47%
1.04%

25.58%
0.91%

26.51%
0.92%

24.27%
1.00%

18.65%
1.02%

16.21%
0.94%

A点数_2
A6_7

9.09%
7.79%

8.58%
17.82%

9.30%
2.96%

8.93%
2.11%

9.00%
1.23%

8.60%
1.00%

8.45%
1.02%

8.22%
1.08%

7.33%
0.97%

6.93%
0.79%

A点数_3
A6_8

12.65%
0.98%

27.77%
2.28%

10.05%
0.50%

9.63%
0.39%

8.35%
0.27%

7.61%
0.23%

7.36%
0.24%

6.75%
0.24%

6.02%
0.25%

5.39%
0.21%

A点数_4
A6_9

3.00%
4.57%

14.52%
10.21%

5.81%
2.82%

5.30%
2.39%

4.46%
2.03%

4.01%
1.92%

3.74%
1.96%

3.34%
1.92%

2.61%
1.87%

2.26%
1.79%

A点数_1
A6_10

5.96%
1.90%

7.48%
6.29%

18.34%
14.24%

19.94%
14.96%

20.55%
13.76%

21.07%
12.53%

21.19%
11.59%

17.07%
10.57%

13.62%
9.57%

12.79%
8.86%

A点数_2
A6_11

24.45%
0.05%

23.34%
0.06%

8.70%
0.07%

8.46%
0.08%

7.91%
0.09%

7.45%
0.11%

7.09%
0.13%

6.50%
0.15%

6.92%
0.18%

6.23%
0.21%

A点数_3
A7

12.80%
14.73%

14.12%
13.35%

7.04%
0.08%

7.15%
0.04%

6.50%
0.03%

5.97%
0.02%

5.51%
0.01%

4.98%
0.01%

4.67%
0.01%

4.39%
0.01%

A点数_4
A1

6.16%
0.92%

7.33%
1.15%

3.77%
1.29%

3.60%
1.45%

3.03%
1.54%

2.84%
1.64%

2.69%
1.74%

2.33%
1.83%

2.01%
1.91%

1.83%
1.99%

A2

16.61%

14.24%

13.49%

13.59%

12.99%

12.53%

12.11%

11.84%

11.81%

11.80%

A3

10.79%

17.17%

18.59%

20.04%

20.19%

20.35%

20.19%

13.06%

7.35%

5.57%

A4

4.73%

5.10%

4.07%

3.76%

3.31%

3.02%

2.71%

2.50%

2.50%

2.38%

A5

2.32%

2.16%

1.70%

1.58%

1.38%

1.18%

1.06%

1.15%

1.10%

1.13%

A6_1

0.46%

2.61%

2.07%

1.65%

0.75%

0.61%

0.42%

0.47%

0.60%

0.43%

A6_2

0.07%

0.25%

0.27%

0.32%

0.35%

0.38%

0.40%

0.41%

0.39%

0.37%

A6_3

0.93%

0.81%

0.49%

0.53%

0.54%

0.54%

0.57%

0.60%

0.63%

0.65%

A6_4

1.08%

1.02%

1.11%

1.28%

1.35%

1.41%

1.53%

1.67%

1.76%

1.80%

A6_5

0.55%

0.76%

0.69%

0.71%

0.61%

0.53%

0.81%

1.17%

1.29%

1.23%

A6_6

6.89%

10.60%

7.36%

6.80%

5.58%

4.76%

4.02%

3.77%

4.48%

3.46%

A6_7

1.09%

0.83%

0.80%

0.82%

0.80%

0.76%

0.76%

0.73%

0.73%

0.74%

A6_8

0.56%

0.35%

0.30%

0.28%

0.24%

0.22%

0.20%

0.18%

0.16%

0.15%

A6_9

3.16%

3.19%

3.19%

3.50%

3.37%

3.17%

2.99%

2.26%

1.78%

1.72%

A6_10

2.29%

2.34%

2.41%

2.32%

2.09%

1.91%

1.77%

1.65%

1.57%

1.54%

A6_11

0.47%

0.54%

0.63%

0.72%

0.77%

0.83%

0.89%

0.94%

1.02%

1.11%

A7

38.09%

35.35%

0.28%

0.14%

0.08%

0.05%

0.03%

0.02%

0.02%

0.01%

出典：保険局医療課調べ（2024年10月～12月DPCデータ）
直接入院した症例（非転院・転棟症例）に限り、当該日に入院している全患者に対する各項目を満たす患者数の割合を示した。

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