title: [Coronary artery bypass grafting in diabetic patients: early and mid-term outcomes].
abstract: BACKGROUND
  The outcome of coronary artery bypass grafting (CABG) in diabetic patients has traditionally been worse than in nondiabetic patients. Recent studies have suggested an improvement in outcome in diabetic patients undergoing CABG. However, the direct impact of diabetes on mortality and morbidities following CABG remains unclear.
  
  
  OBJECTIVE
  To evaluate the early and mid term outcomes of diabetic patients compared to non-diabetics following CABG.
  
  
  METHODS
  We retrospectively analyzed the data of 228 CABG patients from January 2005 to December 2010: one hundred and twenty-six diabetics and 102 non-diabetic.Diabetic patients were more likely to be female(27% Vs 12.7% P=0.009) were less smoker (55.6% Vs 80.4% P<0.0001) with higher rate of three vessel disease(67.5% Vs 42.2% P=0.005) compared to non-diabetics.
  
  
  RESULTS
  Hospital mortality was significantly higher among diabetic patients (16% Vs 4.1% P=0.005).Length of care unit stay was more important (2.3 days Vs 2.1 days P=0.048) , but with a similar rate of sternal wound infection even after bilateral internal thoracic artery grafting. After 28 months mean follow- up, mid-term survival of diabetics was significantly decreased compared to no-diabetics (91% Vs 99% p<0.001) .However, Event-free survival was similar in the two groups (76% Vs 80% p=0.82).
  
  
  CONCLUSIONS
  These results suggest that diabetes is associated with poorer early and mid-term outcomes following (CABG).
authors.affiliation: Hopital Mongi Slim, La Marsa, Tunis, Tunisie.
authors.forename: Habib
authors.initials: H
authors.lastname: Ben Ahmed
authors.forename: Mehdi
authors.initials: M
authors.lastname: Chelli
authors.forename: Khalifa
authors.initials: K
authors.lastname: Selmi
authors.forename: Khaled
authors.initials: K
authors.lastname: Bouzouita
authors.forename: Imen
authors.initials: I
authors.lastname: Hamdi
authors.forename: Aida
authors.initials: A
authors.lastname: Mokaddem
authors.forename: Youssef
authors.initials: Y
authors.lastname: Ben Ameur
authors.forename: Mohamed R
authors.initials: MR
authors.lastname: Boujnah
mesh_terms: D001026:Coronary Artery Bypass / Q000401:mortality / Q000534:rehabilitation / Q000706:statistics & numerical data*; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery*; D003925:Diabetic Angiopathies / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000401:mortality; D011379:Prognosis; D012189:Retrospective Studies; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome