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On the other hand in earlier publications the rate of complications was lower than in our study. For example Hirotani et al. [24] observed sternum infections Dolutegravir ic50 on the same low level both in patients with and without diabetes (2.8% vs. 2.4%). In our study, 72% of patients with diabetes were diagnosed with LMD while having acute coronary syndromes. That is why these patients were frequently operated as urgent cases with poor glucose control that might worsen clinical outcome. In present study 60% of the patients had glycated haemoglobin (HbA1C) value over 7.0?mg%, which shows poor diabetes control according to various recommendations on the treatment of diabetes [27]. This factor may explain frequent local complications and infectious sternal dehiscence in diabetic patients. In another study the authors compared the rate of complications after CABG in patients with HbA1C?Talazoparib mw than angina in patients with diabetes. This finding may be explained by more frequent accompanying diseases and complications typical for diabetes. In our study, 2-year mortality was also similar in both groups. We account, that minimal differences in the mortality were caused by small group of patients, especially small group of patients with diabetes. However, 7-day mortality in diabetic patients was higher, but not statistically significant, than in patients without diabetes (7.0% vs. 4.0%). The higher 7-day mortality in diabetic patients could be connected with older age, impaired renal function and more frequent urgent operations due to acute coronary syndrome. Our results were analysed according to the surgical risk scales. Significantly higher surgical risk was observed among our patients with diabetes in the Parsonnet's score and the Polish Surgical Risk Scale. In both these scales diabetes is considered as a risk factor of cardiac surgery. While in Cleveland scale, which assesses not only the risk of death but also the risk of cardiovascular complications, CAPNS1 diabetes is not taken into account as a risk factor. Moreover diabetes is not enclosed in the most popularly used EuroScore. Doubts about the usefulness of risk scores in patients with diabetes qualified for cardiac surgery should be dispelled by new risk scores. In 2009, The Society of Thoracic Surgeons�� risk model (STS SCORE) was established, while in 2011 new model of EuroScore II was presented during European Association of Cardio-Thoracic Surgery (EACTS) congress [28]?and?[29]. In both scales diabetes is enclosed as a risk factor according to glucose lowering treatment, while glucose control according to value of HbA1C is not taken into account.