Table 4.

Univariate and multivariable analysis of risk factors for CVC-related recurrent VTE or additional catheter placements

CVCs without recurrent VTE (n = 492), %CVCs with recurrent VTE (n = 58), %Univariate analysis OR (95% CI)Multivariable analysis OR (95% CI)
Age at CVC placement     
 <1 237 (48) 32 (55) 1.83 (0.66, 5.06) 1.11 (0.37, 3.33) 
 1-5 137 (28) 18 (31) 1.77 (0.61, 5.12) 1.23 (0.38, 3.95) 
 5-12 67 (14) 5 (9) Reference Reference 
 >12 51 (10) 3 (5) 0.79 (0.18, 3.55) 0.67 (0.14, 3.24) 
Sex     
 Male 260 (53) 29 (50) Reference Excluded 
 Female 232 (47) 29 (50) 1.12 (0.65, 1.94)  
Race     
 White 262 (53) 22 (38) Reference Excluded 
 Black 100 (20) 22 (38) 2.66 (1.42, 4.98)  
 Asian 16 (3) 2 (3) 1.50 (0.31, 7.29)  
 Other 114 (23) 12 (21) 1.28 (0.63, 2.61)  
CVC type     
 Peripherally inserted central catheter 310 (63) 44 (76) 1.45 (0.69, 3.02) 1.53 (0.70, 3.34) 
 Tunneled catheter 80 (16) 4 (7) 0.51 (0.15, 1.71) 0.63 (0.17, 2.38) 
 Nontunneled catheter 102 (21) 10 (17) Reference Reference 
Additional CVC placed     
 1 214 (44) 25 (43) 1.04 (0.46, 2.37) Excluded 
 2 124 (25) 13 (22) 0.93 (0.37, 2.33)  
 3 64 (13) 10 (17) 1.39 (0.52, 3.71)  
 4 or higher 90 (18) 10 (17) Reference  
Chronic medical condition     
 Congenital heart disease 103 (21) 20 (34) 1.99 (1.12, 3.53) 3.02 (1.59, 5.73) 
 Total parenteral nutrition dependence 100 (20) 24 (41) 2.78 (1.62, 4.78) 3.08 (1.65, 5.74) 
 Cancer 48 (10) 1 (2) 0.16 (0.02, 1.21) 0.59 (0.06, 5.39) 
 Renal 51 (10) 5 (9) 0.82 (0.30, 2.20) Others/reference 
 Hyperinsulinemia 23 (5) 2 (3) 0.72 (0.23, 2.32)  
 Cystic fibrosis 11 (2) 1 (2) 0.77 (0.09, 6.72)  
 Autoimmune disease 19 (4) 1 (2) 0.40 (0.03, 4.79)  
 Gastrointestinal autoimmune disease 34 (7) 2 (3) 0.45 (0.08, 2.38)  
 Sickle cell disease 3 (1) 1 (2) 2.86 (0.24, 33.48)  
 None 29 (6) 1 (2) 0.28 (0.03, 2.34)  
Congenital thrombophilia*     
 Present 51 (10) 8 (14) 1.69 (0.70, 4.12) 1.81 (0.74, 4.40) 
 Absent 301 (61) 37 (64) 1.33 (0.69, 2.57) 1.63 (0.81, 3.26) 
 Not assessed 140 (28) 13 (22) Reference Reference 
Acute clinical issue     
 Recent surgery (<30 d) 104 (21) 17 (29) 1.55 (0.84, 2.87) Excluded 
 Active infection 53 (11) 5 (9) 0.67 (0.28, 1.59)  
 Protein-losing process 33 (7) 2 (3) 0.50 (0.11, 2.23)  
 Prothrombotic medication 21 (4) 0 (0) 0  
Secondary prophylaxis     
 Prophylactic dosing 84 (17) 9 (16) 0.60 (0.28, 1.26) 0.61 (0.28, 1.30) 
 Full dosing 282 (57) 22 (38) 0.40 (0.23, 0.71) 0.35 (0.19, 0.65) 
 No anticoagulation 141 (29) 27 (47) Reference Reference 
CVCs without recurrent VTE (n = 492), %CVCs with recurrent VTE (n = 58), %Univariate analysis OR (95% CI)Multivariable analysis OR (95% CI)
Age at CVC placement     
 <1 237 (48) 32 (55) 1.83 (0.66, 5.06) 1.11 (0.37, 3.33) 
 1-5 137 (28) 18 (31) 1.77 (0.61, 5.12) 1.23 (0.38, 3.95) 
 5-12 67 (14) 5 (9) Reference Reference 
 >12 51 (10) 3 (5) 0.79 (0.18, 3.55) 0.67 (0.14, 3.24) 
Sex     
 Male 260 (53) 29 (50) Reference Excluded 
 Female 232 (47) 29 (50) 1.12 (0.65, 1.94)  
Race     
 White 262 (53) 22 (38) Reference Excluded 
 Black 100 (20) 22 (38) 2.66 (1.42, 4.98)  
 Asian 16 (3) 2 (3) 1.50 (0.31, 7.29)  
 Other 114 (23) 12 (21) 1.28 (0.63, 2.61)  
CVC type     
 Peripherally inserted central catheter 310 (63) 44 (76) 1.45 (0.69, 3.02) 1.53 (0.70, 3.34) 
 Tunneled catheter 80 (16) 4 (7) 0.51 (0.15, 1.71) 0.63 (0.17, 2.38) 
 Nontunneled catheter 102 (21) 10 (17) Reference Reference 
Additional CVC placed     
 1 214 (44) 25 (43) 1.04 (0.46, 2.37) Excluded 
 2 124 (25) 13 (22) 0.93 (0.37, 2.33)  
 3 64 (13) 10 (17) 1.39 (0.52, 3.71)  
 4 or higher 90 (18) 10 (17) Reference  
Chronic medical condition     
 Congenital heart disease 103 (21) 20 (34) 1.99 (1.12, 3.53) 3.02 (1.59, 5.73) 
 Total parenteral nutrition dependence 100 (20) 24 (41) 2.78 (1.62, 4.78) 3.08 (1.65, 5.74) 
 Cancer 48 (10) 1 (2) 0.16 (0.02, 1.21) 0.59 (0.06, 5.39) 
 Renal 51 (10) 5 (9) 0.82 (0.30, 2.20) Others/reference 
 Hyperinsulinemia 23 (5) 2 (3) 0.72 (0.23, 2.32)  
 Cystic fibrosis 11 (2) 1 (2) 0.77 (0.09, 6.72)  
 Autoimmune disease 19 (4) 1 (2) 0.40 (0.03, 4.79)  
 Gastrointestinal autoimmune disease 34 (7) 2 (3) 0.45 (0.08, 2.38)  
 Sickle cell disease 3 (1) 1 (2) 2.86 (0.24, 33.48)  
 None 29 (6) 1 (2) 0.28 (0.03, 2.34)  
Congenital thrombophilia*     
 Present 51 (10) 8 (14) 1.69 (0.70, 4.12) 1.81 (0.74, 4.40) 
 Absent 301 (61) 37 (64) 1.33 (0.69, 2.57) 1.63 (0.81, 3.26) 
 Not assessed 140 (28) 13 (22) Reference Reference 
Acute clinical issue     
 Recent surgery (<30 d) 104 (21) 17 (29) 1.55 (0.84, 2.87) Excluded 
 Active infection 53 (11) 5 (9) 0.67 (0.28, 1.59)  
 Protein-losing process 33 (7) 2 (3) 0.50 (0.11, 2.23)  
 Prothrombotic medication 21 (4) 0 (0) 0  
Secondary prophylaxis     
 Prophylactic dosing 84 (17) 9 (16) 0.60 (0.28, 1.26) 0.61 (0.28, 1.30) 
 Full dosing 282 (57) 22 (38) 0.40 (0.23, 0.71) 0.35 (0.19, 0.65) 
 No anticoagulation 141 (29) 27 (47) Reference Reference 

OR, odds ratio; VTE, venous thromboembolism.

*

Congenital thrombophilia defined as factor V Leiden mutation, antithrombin deficiency, protein C deficiency, protein S deficiency, and/or prothrombin gene mutation.

Zero events on prothrombotic medication so OR could not be estimated.

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