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