Table 3

Predictors of inappropriate PICC placement, estimated using multivariable regression

PredictorsOR
(95% CI)
P value
Patient factors
 Age1.01 (1.01 to 1.02)<0.001
 Female gender1.41 (1.13 to 1.77)0.003
 Charlson Comorbidity Index score 13.33 (2.48 to 4.48)<0.001
 Charlson Comorbidity Index score 21.71 (1.27 to 2.30)<0.001
 Charlson Comorbidity Index score 3 or greater2.98 (2.35 to 3.78)<0.001
 Laboratory-based Acute Physiology Score1.01 (1.01 to 1.02)<0.001
 PICC placed in ICU1.97 (1.52 to 2.54)<0.001
Physician factors
 Proportion of patients receiving a PICC1.00 (0.97 to 1.02)0.71
 Male gender0.84 (0.65 to 1.09)0.19
 Years of independent practice1.01 (1.00 to 1.01)0.28
 Average annual case load1.00 (1.00 to 1.00)0.79
Hospital site
 Hospital A1.46 (1.05 to 2.03)0.024
 Hospital B0.92 (0.64 to 1.31)0.63
 Hospital C0.71 (0.47 to 1.09)0.12
 Hospital D1.25 (0.87 to 1.80)0.23
  • A multivariable generalised estimating equation model was fit to explore the association of patient, physician and hospital predictors of inappropriate PICC use. For multilevel categorical variables, the following categories were used as referents: Charlson Comorbidity Index score 0, Hospital E.

  • ICU, intensive care unit; PICC, peripherally inserted central catheter.