Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study

Abstract

Background: Peripherally inserted central catheters (PICCs) related complications are common in catheterization patients. Many patients with PICC catheterization have diabetes mellitus. The data of incidence and risk factors in diabetic patients are scarce. Methods: A retrospective, multicenter study was performed on diabetic patients with PICC insertion from May 2017 to June 2018. A mobile App was used to collect patients and insertion information. We used univariable and multivariable analysis to examine the risk factors of PICC-related complications. Results: A total of 103 diabetic patients were included with 13 (12.6%) patients developed complications. In univariable analysis, marriage (P=0.002), prior surgery (P<0.001) were associated with complications. Following logistic regression analysis, marriage (OR 0.13, 95 CI% 0.03-0.58, P=0.007) and prior surgery (OR 2.30, 95% CI 2.33-42.68, P=0.002) remained to be independent risk factors of complications. Conclusion: For diabetic patients, paying more attention to these who unmarried and have surgery history may reduce the risk of adverse outcome.