PD53-12 INCIDENCE, RISK FACTORS, AND PERIOPERATIVE OUTCOMES ASSOCIATED WITH CLOSTRIDIUM DIFFICILE INFECTION IN UROLOGIC SURGERY: ANALYSIS OF THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROJECT DATABASE

INTRODUCTION AND OBJECTIVES:Clostridium difficile infection (CDI) is a hospital acquired infection that can cause significant perioperative morbidity. We sought to characterize the incidence, risk factors, and impact of CDI on perioperative outcomes in urologic surgery.METHODS:The American College of Surgeons National Surgical Quality Improvement Project (ACS NSQIP) database tracts 30-day hospital readmission, reoperation, death, and complications, including CDI, from participating institutions. We identified CPT codes of patients undergoing the breadth of urologic surgery, which we characterized into 12 surgical categories (Figure 1). Univariate analysis was used to compare preoperative and operative parameters associated with the outcomes of interest (CDI, readmission, and death). Variables that were significant or near significant were entered into a multivariable backwards stepwise logistic regression model. All tests were 2 sided and significance was set at p=0.05.RESULTS:From 2015-2016, we identifie...