Table 5. Adjusted Risk Factors for Infectious Complications and Non-Infectious Complications.
| Infectious Complications | Non-Infectious Complications | |||
|---|---|---|---|---|
| Variable | Adjusted IRR* (95% CI) |
p value | Adjusted IRR* (95% CI) |
p value |
| Age categories | ||||
| <1 year | 1 | 1 | ||
| ≥1 to 7 years | 0.89(0.54-1.48) | 0.66 | 0.75(059-0.97) | 0.03 |
| >7 to 13 years | 0.56(0.30-1.56) | 0.07 | 0.43(0.30-0.59) | <0.001 |
| >13 years | 0.56(0.32-0.98) | 0.04 | 0.47(0.35-0.63) | <0.001 |
| Site of PICC Insertion ** | ||||
| Upper Extremity | 1 | 1 | ||
| Lower extremity | 0.71(0.32-1.56) | 0.41 | 1.21(0.85-1.70) | 0.29 |
| Head and neck | 0.45(0.24-0.83) | 0.01 | 1.26(0.99-1.61) | 0.06 |
| Tip Location | ||||
| Central | 1 | 1 | ||
| Non-Central*** | 0.75(0.34-1.50) | 0.38 | 4.56(3.67-5.61) | <0.001 |
| PICU Exposure | ||||
| No | 1 | 1 | ||
| Yes | 2.23(1.43-3.48) | <0.001 | 1.11(0.89-1.38) | 0.35 |
| Line Year | 0.86(0.78-0.95) | 0.003 | 0.86(0.82-0.91) | <0.001 |
Abbreviations: CI, confidence interval; IRR, incidence rate ratio; PICU, pediatric intensive care unit.
Adjusted for catheter dwell time using cubic spline terms, sex, and indication for catheter insertion
Insertion sites for PICCs were classified as upper extremity, lower extremity and head and neck based on where the PICC was placed
Catheter tip locations were categorized as non-central if they did not reside in the superior vena cava, right atrium, or high inferior vena cava or above the level of the diaphragm for lower extremity catheters.