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. 2020 Jul 11;50(8):794–808. doi: 10.1007/s00595-020-02047-x

Table 2.

Timeline of clinical practice policy for pediatric surgery

Keio Children’s Hospital and Perinatal Center. National Center for Child Health and Development Tokyo Metropolitan Children’s Medical Center
Surgical Triage Policy (Department of Pediatric Surgery) All elective cases cancelled since Apr 1 Reduction of elective cases since Mar 31, all elective cases cancelled since Apr 6 Reduction of elective cases 30% since Apr 2, all elective cases cancelled since Apr 17
Actual number of surgical cases performed between weeks of Apr 6–Apr 25 3 urgent cases 25 cases (8 emergency and urgent cases only) 33 cases (4 emergency and mostly urgent cases)
Preoperative Surveillance PCR for All + Chest CT if > 7 of age since Apr 6 PCR only for suspect cases as of Apr 30 PCR only for suspect cases as of Apr 30
Surveillance of PCR for admission aAll since Apr 8 Only suspect cases as of Apr 30 Only suspect cases as of Apr 30
Reconfiguration of ward 3 isolated rooms for COVID-19 One designated floor for suspect and confirmed COVID-19 28 isolated beds +2 PICU for COVID-19
Rearrangement of surgical team Since Apr 5 Since Apr 13 Since Apr 6
Ambulatory care Triage Since Mar 28 and Telemedicine since Apr 1 Triage and Telemedicine since Apr 13 Triage and Telemedicine since Mar 6

aAll tested subjects stay home until the results are available. If urgent, the subject is isolated in one of three rooms for a single suspect case until the result is available