Table 3.

Univariate and multivariate analysis of risk factors for time until recurrent VTE (n = 373)

Patients without recurrent VTE (n = 308), %Patients with recurrent VTE (n = 65), %Univariate analysis HR (95% CI)Multivariable analysis HR (95% CI)
Age at study entry (y)     
 <1 179 (58) 39 (60) 1.77 (0.75, 4.19) 1.09 (0.45, 2.78) 
 1-5 63 (20) 15 (23) 1.70 (0.66, 4.40) 1.63 (0.61, 4.36) 
 5-12 42 (14) 6 (9) Reference Reference 
 >12 24 (8) 5 (8) 1.57 (0.48, 5.18) 1.71 (0.51, 5.78) 
Sex     
 Male 171 (56) 32 (49) Reference Excluded 
 Female 137 (44) 33 (51) 1.31 (0.81, 2.13)  
Race     
 White 156 (51) 26 (40) Reference Excluded 
 Black 72 (23) 23 (35) 1.68 (0.96, 2.95)  
 Asian 14 (5) 2 (3) 0.79 (0.19, 3.34)  
 Other 66 (21) 14 (22) 1.42 (0.74, 2.72)  
Total additional CVCs     
 0 132 (43) 2 (3) Reference Reference 
 1 82 (27) 20 (31) 15.14 (3.54, 64.78) 12.00 (2.78, 51.91) 
 2 45 (15) 18 (28) 23.74 (5.50, 102.4) 15.20 (3.43, 67.48) 
 3 21 (7) 13 (20) 28.15 (6.34, 125.0) 14.07 (3.11, 63.58) 
 4 or more 28 (9) 12 (18) 20.63 (4.62, 92.21) 11.21 (2.45, 51.41) 
Chronic medical condition     
 Congenital heart disease 45 (15) 23 (35) 2.90 (1.74, 4.83) 3.70 (1.97, 6.95) 
 Total parenteral nutrition dependence 28 (9) 26 (40) 5.09 (3.08, 8.39) 4.02 (2.23, 7.28) 
 Cancer 29 (9) 1 (2) 0.17 (0.02, 1.20) 0.23 (0.03, 1.81) 
 Renal 18 (6) 5 (8) 1.38 (0.55, 3.43) Others/reference 
 Hyperinsulinemia 22 (7) 2 (3) 0.69 (0.17, 2.83)  
 Cystic fibrosis 5 (2) 1 (2) 0.84 (0.12, 6.05)  
 Autoimmune disease 2 (1) 2 (3) 3.96 (0.97, 16.24)  
 Gastrointestinal autoimmune disease 8 (3) 2 (3) 0.89 (0.22, 3.68)  
 Sickle cell disease 7 (2) 1 (2) 0.56 (0.08, 4.05)  
 None 158 (51) 40 (62) 0.09 (0.01, 0.65) 0.30 (0.04, 2.30) 
Congenital thrombophilia*     
 Present 27 (9) 9 (14) 2.10 (0.91, 4.87) 2.52 (1.05, 6.03) 
 Absent 161 (52) 42 (65) 1.68 (0.92, 3.09) 1.66 (0.89, 3.13) 
 Not assessed 120 (39) 14 (22) Reference Reference 
Acute prothrombotic condition     
 Recent surgery (<30 d) 60 (19) 18 (28) 1.50 (0.87, 2.57) Excluded 
 Active infection 63 (20) 8 (12) 0.59 (0.28, 1.24)  
 Protein-losing process 9 (3) 2 (3) 1.17 (0.29, 4.77)  
 Prothrombotic medication 11 (4) 0 (0) 0  
Patients without recurrent VTE (n = 308), %Patients with recurrent VTE (n = 65), %Univariate analysis HR (95% CI)Multivariable analysis HR (95% CI)
Age at study entry (y)     
 <1 179 (58) 39 (60) 1.77 (0.75, 4.19) 1.09 (0.45, 2.78) 
 1-5 63 (20) 15 (23) 1.70 (0.66, 4.40) 1.63 (0.61, 4.36) 
 5-12 42 (14) 6 (9) Reference Reference 
 >12 24 (8) 5 (8) 1.57 (0.48, 5.18) 1.71 (0.51, 5.78) 
Sex     
 Male 171 (56) 32 (49) Reference Excluded 
 Female 137 (44) 33 (51) 1.31 (0.81, 2.13)  
Race     
 White 156 (51) 26 (40) Reference Excluded 
 Black 72 (23) 23 (35) 1.68 (0.96, 2.95)  
 Asian 14 (5) 2 (3) 0.79 (0.19, 3.34)  
 Other 66 (21) 14 (22) 1.42 (0.74, 2.72)  
Total additional CVCs     
 0 132 (43) 2 (3) Reference Reference 
 1 82 (27) 20 (31) 15.14 (3.54, 64.78) 12.00 (2.78, 51.91) 
 2 45 (15) 18 (28) 23.74 (5.50, 102.4) 15.20 (3.43, 67.48) 
 3 21 (7) 13 (20) 28.15 (6.34, 125.0) 14.07 (3.11, 63.58) 
 4 or more 28 (9) 12 (18) 20.63 (4.62, 92.21) 11.21 (2.45, 51.41) 
Chronic medical condition     
 Congenital heart disease 45 (15) 23 (35) 2.90 (1.74, 4.83) 3.70 (1.97, 6.95) 
 Total parenteral nutrition dependence 28 (9) 26 (40) 5.09 (3.08, 8.39) 4.02 (2.23, 7.28) 
 Cancer 29 (9) 1 (2) 0.17 (0.02, 1.20) 0.23 (0.03, 1.81) 
 Renal 18 (6) 5 (8) 1.38 (0.55, 3.43) Others/reference 
 Hyperinsulinemia 22 (7) 2 (3) 0.69 (0.17, 2.83)  
 Cystic fibrosis 5 (2) 1 (2) 0.84 (0.12, 6.05)  
 Autoimmune disease 2 (1) 2 (3) 3.96 (0.97, 16.24)  
 Gastrointestinal autoimmune disease 8 (3) 2 (3) 0.89 (0.22, 3.68)  
 Sickle cell disease 7 (2) 1 (2) 0.56 (0.08, 4.05)  
 None 158 (51) 40 (62) 0.09 (0.01, 0.65) 0.30 (0.04, 2.30) 
Congenital thrombophilia*     
 Present 27 (9) 9 (14) 2.10 (0.91, 4.87) 2.52 (1.05, 6.03) 
 Absent 161 (52) 42 (65) 1.68 (0.92, 3.09) 1.66 (0.89, 3.13) 
 Not assessed 120 (39) 14 (22) Reference Reference 
Acute prothrombotic condition     
 Recent surgery (<30 d) 60 (19) 18 (28) 1.50 (0.87, 2.57) Excluded 
 Active infection 63 (20) 8 (12) 0.59 (0.28, 1.24)  
 Protein-losing process 9 (3) 2 (3) 1.17 (0.29, 4.77)  
 Prothrombotic medication 11 (4) 0 (0) 0  

Time (d) from initial catheter-associated thrombotic event to additional thrombotic event, or end of follow-up for censored patients.

HR, hazards 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 recurrent thrombotic events for patients with prothrombotic medication so HR could not be estimated.

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