The Spread of COVID-19 Among 15,000 Physical Therapists in Italy : A Cross-Sectional Study
© The Author(s) 2021. Published by Oxford University Press on behalf of the American Physical Therapy Association..
OBJECTIVES: The purpose of this study was to explore the prevalence, personal- and work-related exposures, and signs and symptoms among physical therapists during the first wave of coronavirus disease 2019 (COVID-19) in Italy.
METHODS: This cross-sectional, survey-based study collected demographic and exposure data from physical therapists from April to May 2020. All physical therapists working in inpatient and outpatient care in Italy were eligible. A self-administered questionnaire was distributed among all eligible physical therapists to collect (1) demographic characteristics, (2-3) personal- and work-related exposures, and (4) signs and symptoms of COVID-19. Factors associated with a COVID-19-positive nasopharyngeal swab (NPS) were explored through logistic regression models and multivariate methods.
RESULTS: A total of 15,566 respondents completed the survey, with a response rate of 43.3%, achieving high statistical precision (99% CI, 1% type I error). Among physical therapists who received NPS testing, 13.1% (95% CI = 12.1-14.1%) had a positive result, with a peak reached in March 2020 (36%). The top 5 symptoms were fatigue and tiredness (69.1%), loss of smell (64.5%), aches and pains (60.8%), loss of taste (58.3%), and headache (51.1%). No symptoms were reported by 8.9%. Working in a health care institution (odds ratio [OR] = 12.0; 95% CI = 7.8-18.4), being reallocated to a different unit (OR = 1.9; 95% CI = 1.3-2.7), and changing job tasks (OR = 1.6; 95% CI = 1.2-2.3) increased the risk of being COVID-19 positive. In therapists with a confirmed diagnosis of COVID-19, comorbidities were associated with male sex and age older than 51 years.
CONCLUSION: During the first wave in Italy, almost 1 out of 7 physical therapists tested positive on the COVID-19 NPS test. Considering personal- and work-related exposures, health care organizations should adopt prevention measures and adequate preparedness to prevent high rate of infections during future pandemics.
IMPACT: This is the largest investigation about the spread of and main risk factors for COVID-19 in the physical therapy field.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:101 |
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| Enthalten in: |
Physical therapy - 101(2021), 8 vom: 01. Aug. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Gianola, Silvia [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 10.09.2021 Date Revised 12.04.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/ptj/pzab123 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM325219036 |
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| 100 | 1 | |a Gianola, Silvia |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Spread of COVID-19 Among 15,000 Physical Therapists in Italy |b A Cross-Sectional Study |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 10.09.2021 | ||
| 500 | |a Date Revised 12.04.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2021. Published by Oxford University Press on behalf of the American Physical Therapy Association. | ||
| 520 | |a OBJECTIVES: The purpose of this study was to explore the prevalence, personal- and work-related exposures, and signs and symptoms among physical therapists during the first wave of coronavirus disease 2019 (COVID-19) in Italy | ||
| 520 | |a METHODS: This cross-sectional, survey-based study collected demographic and exposure data from physical therapists from April to May 2020. All physical therapists working in inpatient and outpatient care in Italy were eligible. A self-administered questionnaire was distributed among all eligible physical therapists to collect (1) demographic characteristics, (2-3) personal- and work-related exposures, and (4) signs and symptoms of COVID-19. Factors associated with a COVID-19-positive nasopharyngeal swab (NPS) were explored through logistic regression models and multivariate methods | ||
| 520 | |a RESULTS: A total of 15,566 respondents completed the survey, with a response rate of 43.3%, achieving high statistical precision (99% CI, 1% type I error). Among physical therapists who received NPS testing, 13.1% (95% CI = 12.1-14.1%) had a positive result, with a peak reached in March 2020 (36%). The top 5 symptoms were fatigue and tiredness (69.1%), loss of smell (64.5%), aches and pains (60.8%), loss of taste (58.3%), and headache (51.1%). No symptoms were reported by 8.9%. Working in a health care institution (odds ratio [OR] = 12.0; 95% CI = 7.8-18.4), being reallocated to a different unit (OR = 1.9; 95% CI = 1.3-2.7), and changing job tasks (OR = 1.6; 95% CI = 1.2-2.3) increased the risk of being COVID-19 positive. In therapists with a confirmed diagnosis of COVID-19, comorbidities were associated with male sex and age older than 51 years | ||
| 520 | |a CONCLUSION: During the first wave in Italy, almost 1 out of 7 physical therapists tested positive on the COVID-19 NPS test. Considering personal- and work-related exposures, health care organizations should adopt prevention measures and adequate preparedness to prevent high rate of infections during future pandemics | ||
| 520 | |a IMPACT: This is the largest investigation about the spread of and main risk factors for COVID-19 in the physical therapy field | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Coronavirus Infections | |
| 650 | 4 | |a Coronavirus, COVID-19 | |
| 650 | 4 | |a Disease Outbreaks | |
| 650 | 4 | |a Pandemics | |
| 650 | 4 | |a Physical Therapy | |
| 650 | 4 | |a Physiotherapy | |
| 650 | 4 | |a Prevention and Control | |
| 650 | 4 | |a Severe Acute Respiratory Syndrome Coronavirus 2 | |
| 650 | 4 | |a Surveys and Questionnaires | |
| 650 | 4 | |a Transmission | |
| 700 | 1 | |a Bargeri, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Campanini, Isabella |e verfasserin |4 aut | |
| 700 | 1 | |a Corbetta, Davide |e verfasserin |4 aut | |
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| 700 | 1 | |a Meroni, Roberto |e verfasserin |4 aut | |
| 700 | 1 | |a Castellini, Greta |e verfasserin |4 aut | |
| 700 | 1 | |a Turolla, Andrea |e verfasserin |4 aut | |
| 700 | 0 | |a Scientific Committee of AIFI |e verfasserin |4 aut | |
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