Table 3. Influencing factors of thrombosis after PICC insertion in children.
| Variables | β | Standard error | χ2 | HR (95% CI) | P |
|---|---|---|---|---|---|
| Model 1 (general) | |||||
| Age (<12 vs. ≥12 months) | 0.349 | 0.172 | 4.116 | 1.417 (1.012, 1.985) | 0.042 |
| Gender (male vs. female) | −0.060 | 0.160 | 0.142 | 0.942 (0.689, 1.288) | 0.706 |
| On ventilator (yes vs. no) | 0.307 | 0.196 | 2.458 | 1.359 (0.926, 1.995) | 0.117 |
| Limb movement training (yes vs. no) | −0.459 | 0.174 | 6.932 | 0.632 (0.449, 0.889) | 0.008 |
| Model 2a | |||||
| 20% mannitol or glycerol fructose (yes vs. no) | 0.869 | 0.189 | 21.151 | 2.384 (1.646, 3.453) | <0.001 |
| Furosemide (yes vs. no) | 0.175 | 0.187 | 0.883 | 1.192 (0.826, 1.719) | 0.347 |
| Heparin sodium (yes vs. no) | 0.224 | 0.316 | 0.500 | 1.251 (0.673, 2.325) | 0.479 |
| Model 3a | |||||
| Catheter placing personnel (PICU vs. operating room) | 0.864 | 0.172 | 25.352 | 2.373 (1.695, 3.322) | <0.001 |
| Insertion length (≥9 vs. <9 cm) | 0.513 | 0.177 | 8.370 | 1.671 (1.180, 2.366) | 0.004 |
| Model 4 (hemagglutination term before catheterization)a | |||||
| Fibrinogen (≤1.7 vs. >1.7 g/L) | 0.073 | 0.174 | 0.178 | 1.076 (0.765, 1.515) | 0.673 |
| Activated partial prothrombin time (>32 vs. ≤32 s) | 0.167 | 0.195 | 0.738 | 1.182 (0.807, 1.732) | 0.390 |
| D-dimer (>1.5 vs. ≤1.5 mg/L) | 0.507 | 0.175 | 8.380 | 1.661 (1.178, 2.341) | 0.004 |
| Full model | |||||
| Age (<12 vs. ≥12 months) | 0.503 | 0.176 | 8.143 | 1.654 (1.171, 2.338) | 0.004 |
| Limb movement training (yes vs. no) | −0.415 | 0.174 | 5.669 | 0.660 (0.469, 0.929) | 0.017 |
| 20% mannitol or glycerol fructose (yes vs. no) | 0.465 | 0.209 | 4.971 | 1.593 (1.058, 2.398) | 0.026 |
| Catheter placing personnel (PICU vs. operating room) | 0.653 | 0.181 | 13.009 | 1.921 (1.347, 2.740) | <0.001 |
| Insertion length (≥9 vs. <9 cm) | 0.491 | 0.183 | 7.220 | 1.633 (1.142, 2.336) | 0.007 |
| D-dimer (>1.5 vs. ≤1.5 mg/L) | 0.372 | 0.168 | 4.924 | 1.451 (1.044, 2.015) | 0.026 |
a, corrected for age and gender. PICC, peripherally inserted central catheter; HR, hazard ratio; CI, confidence interval; PICU, pediatric intensive care unit.