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Hip FracturesHIP ATTACKNCT02027896

HIP Fracture Accelerated Surgical TreaTment And Care tracK (HIP ATTACK) Trial

A study testing Accelerated medical clearance and surgery in people with Hip Fractures, run by McMaster University at 69 sites in 17 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

HIP ATTACK is an international randomized controlled trial of 3000 patients with a hip fracture that requires a surgical intervention. This trial will determine the effect of accelerated medical clearance and accelerated surgery compared to standard care on the 90-day risk of mortality and major perioperative… Read more about this study

Who is it for?
Ages 45 years and older
Conditions the study is for
Hip Fractures
What is being tested?
Accelerated medical clearance and surgery
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,001 participants
Where
69 sitesin 17 countries
Study dates
14 Mar 2014to 30 Sep 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • age ≥45 years; and
  • diagnosis of hip fracture during working hours with a low-energy mechanism (i.e., falling from standing height) requiring surgery.

Who cannot join

  • patients requiring emergent surgery or emergent interventions for another reason (e.g., subdural hematoma, abdominal pathology requiring urgent laparotomy, acute limb ischemia, other fractures or trauma requiring emergent surgery, necrotising fasciitis, coronary revascularization, pacemaker-implantation);
  • open hip fracture;
  • bilateral hip fractures;
  • peri-prosthetic fracture;
  • therapeutic anticoagulation not induced by a Vitamin K Antagonist, unfractionated heparin, (e.g., administration of therapeutic Low Molecular Weight Heparin (LMWH) (>6,000 u/24h) in the 24 hours prior to enrolment, or intake of any other non-reversible oral anticoagulant(s) for which there is no reversing agent available
  • patients on a therapeutic vitamin K antagonist with a history of heparin induced thrombocytopenia (HIT);
  • patients refusing participation; or
  • patients previously enrolled in the study.

Trial locations and contacts

69 sites in 17 countries.

69 sites in 17 countries

Canada18 sites
  • Royal Victoria Hospital

    Barrie, Ontario

  • South Health Campus

    Calgary, Alberta

  • University of Alberta Hospital

    Edmonton, Alberta

  • Etobicoke General Hospital

    Etobicoke, Ontario

  • QEII Health Sciences

    Halifax, Nova Scotia, B3H 3A7

  • St. Joseph's Hospital Hamilton

    Hamilton, Ontario, L8N 4A6

  • Hamilton Health Sciences - Juravinski Hospital

    Hamilton, Ontario, L8V 5C2

  • Kingston General Hospital

    Kingston, Ontario, K7L 2V7

  • Grand River Hospital

    Kitchener, Ontario

  • Victoria Hospital, London Health Sciences

    London, Ontario

  • Markham Stouffville Hospital

    Markham, Ontario

  • Ottawa General Hospital

    Ottawa, Ontario, K1H 8L6

  • Thunder Bay Regional Health Sciences Centre

    Thunder Bay, Ontario, P7B 6V4

  • Humber River Hospital

    Toronto, Ontario, M3M 0B2

  • St. Michael's Hospital

    Toronto, Ontario

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario

  • Vancouver General Hospital

    Vancouver, British Columbia

  • Concordia Hip and Knee Institute

    Winnipeg, Manitoba, MB R2K 2M9

Other trials in Canada

India11 sites
  • Government TD Medical College

    Alappuzha, 688005

  • Sparsh Hospital

    Bangalore, 560099

  • PGIMER

    Chandigarh

  • Bangalore Baptist Hospital

    Hebbāl, 560024

  • NH Kolkata

    Kolkata, 700099

  • CMC Ludhiana

    Ludhiana, 141008

  • Seven Star Hospital

    Nagpur

  • AIIMS Hospital

    New Delhi

  • JIPMER

    Puducherry

  • Sancheti Institute for Orthopaedics and Rehabilitation

    Shivājīnagar, 411005

  • Government Medical Hospital

    Trivandrum

Other trials in India

Spain7 sites
  • Hospital San Pau

    Barcelona, 08025

  • Hospital Universitaire Vall d'Hebron

    Barcelona, 08035

  • Corporació Sanitària Parc Taulí

    Barcelona, 08208

  • Mutua de Terrassa Hospital

    Barcelona, 08221

  • Hospital Sant Camil (Consorci Sanitari Garraf)

    Barcelona

  • Costa del Sol

    Marbella, 29603

  • Hospital Clinico Universitario de Vallad

    Valladolid

Other trials in Spain

United States5 sites
  • University of Maryland

    Baltimore, Maryland, 20742

  • Lahey Hospital and Medical Centre

    Burlington, Massachusetts, 01805

  • Ohio State University Medical Centre

    Columbus, Ohio, 43210

  • Regional Medical Center of San Jose

    San Jose, California

  • Tufts Medical Centre

    Washington, Massachusetts, 02111

Other trials in United States

United Kingdom5 sites
  • Calderdale & Huddersfield NHS

    Huddersfield

  • Chelsea and Westminster Hospital

    London, SW10 9NH

  • West Middlesex Hospital

    London

  • Peterborough City Hospital

    Peterborough

  • King's Mill Hospital

    Sutton in Ashfield, NG17 4JL

Other trials in United Kingdom

Italy4 sites
  • Ospedale San Raffaele

    Milan, 20132

  • Humanitas Research Hospital

    Milan

  • IRCCS Galeazzi Orthopedic Institute

    Milan

  • ASST Sette Laghi - Ospedale Di

    Varese

Other trials in Italy

Poland3 sites
  • SPZOZ Szpital Powiatowy w Bochni im M. Wieckiej

    Bochnia

  • University Hospital & Educational Center of Medical University in Lodz

    Lodz

  • Samodzielny Publiczny Zakład Opieki Zdrowotnej W Myślenicach

    Myślenice, 32-400

Other trials in Poland

South Africa3 sites
  • Groote Schuur Hospital

    Cape Town, 7925

  • Stellenbosch University

    Cape Town

  • Chris Hani Baragwanath Hospital

    Johannesburg, 2193

Other trials in South Africa

Belgium2 sites
  • Cliniques Universitaires Saint-Luc

    Brussels

  • Cliniques Universitaires Saint-Luc

    Woluwe-Saint-Lambert

Other trials in Belgium

France2 sites
  • Centre Hospitalier Lyon Sud

    Lyon

  • Nimes University Hospital

    Nîmes, 30029

Other trials in France

Malaysia2 sites
  • Hospital Pulau Pinang

    George Town

  • University Malaya Medical Centre (UMMC)

    Kuala Lumpur, 59100

Other trials in Malaysia

Pakistan2 sites
  • Shifa International Hospitals

    Islamabad, 44000

  • The Aga Khan University

    Karachi, 74800

Other trials in Pakistan

China1 site
  • Beijing Chaoyang Hospital

    Beijing

Other trials in China

Colombia1 site
  • Fundacion Cardioinfantil

    Bogotá, 13B-60

Other trials in Colombia

Hong Kong1 site
  • Queen Mary Hospital

    High West

Other trials in Hong Kong

Netherlands1 site
  • Deventer Ziekenhuis

    Deventer

Other trials in Netherlands

Thailand1 site
  • Ramathibodi Hospital

    Bangkok, 10400

Other trials in Thailand

About this study

HIP ATTACK is an international randomized controlled trial of 3000 patients with a hip fracture that requires a surgical intervention. This trial will determine the effect of accelerated medical clearance and accelerated surgery compared to standard care on the 90-day risk of mortality and major perioperative complication (i.e., a composite of mortality, nonfatal myocardial infarction, nonfatal pulmonary embolism, nonfatal pneumonia, nonfatal sepsis, nonfatal stroke, and nonfatal life-threatening and major bleeding).

Conditions
Hip Fractures
Being tested
Accelerated medical clearance and surgery
Keywords
Perioperative outcomes
Medical subject headings
Hip Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Accelerated medical clearance and surgeryOther

    Rapid medical clearance with targeted arrival to the operating room within 6 hours of diagnosis of a hip fracture requiring surgical repair.

Study groups in NCT02027896
Study groupRoleWhat they receive
Accelerated medical clearance and surgeryExperimentalRapid medical clearance with targeted arrival to the operating room within 6 hours of diagnosis of a hip fracture requiring surgical repair.
Receives: Other: Accelerated medical clearance and surgery
Standard surgical careNo interventionSurgical hip fracture repair according to the standard timing.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Composite - major perioperative complication

    Composite of mortality, nonfatal myocardial infarction, nonfatal pulmonary embolism, nonfatal pneumonia, nonfatal sepsis, nonfatal stroke, and nonfatal life-threatening and major bleeding

    Measured: 90 days

  2. Mortality

    All-cause mortality

    Measured: 90 days

Secondary outcomes (40)
  1. All-cause mortality

    Death due to all causes

    Measured: 90 days and 1 year

  2. Vascular mortality

    Death due to vascular cause

    Measured: 90 days and 1 year

  3. Non-vascular mortality

    Death due to non-vascular cause

    Measured: 90 days and 1 year

  4. Myocardial infarction

    Myocardial infarction

    Measured: 90 days and 1 year

  5. Cardiac revascularization procedure

    i.e., percutaneous coronary intervention [PCI] or coronary artery bypass grafting [CABG] surgery

    Measured: 90 days and 1 year

  6. New congestive heart failure

    New congestive heart failure

    Measured: 90 days and 1 year

  7. New clinically important atrial fibrillation

    New clinically important atrial fibrillation

    Measured: 90 days

  8. Nonfatal cardiac arrest

    Nonfatal cardiac arrest

    Measured: 30 days and 1 year

  9. Stroke

    Stroke

    Measured: 90 days and 1 year

  10. Peripheral arterial thrombosis

    Peripheral arterial thrombosis

    Measured: 90 days and 1 year

  11. Pulmonary embolism

    Pulmonary embolism

    Measured: 90 days and 1 year

  12. Deep venous thrombosis

    Deep venous thrombosis

    Measured: 90 days and 1 year

  13. Pneumonia

    Pneumonia

    Measured: 90 days and 1 year

  14. Sepsis

    Sepsis

    Measured: 90 days and 1 year

  15. Infection

    Infection

    Measured: 90 days

  16. Life-threatening bleeding

    Life-threatening bleeding

    Measured: 90 days

  17. Major bleeding

    Major bleeding

    Measured: 90 days

  18. New acute renal failure requiring dialysis

    New acute renal failure requiring dialysis

    Measured: 90 days and 1 year

  19. Peri-prosthetic fracture

    Peri-prosthetic fracture

    Measured: 90 days and 1 year

  20. Prosthetic hip dislocation

    Prosthetic hip dislocation

    Measured: 90 days and 1 year

  21. Implant failure

    Implant failure

    Measured: 90 days and 1 year

  22. Hip re-operation

    Hip re-operation

    Measured: 30 days and 1 year

  23. Time to first mobilization

    Time to first mobilization

    Measured: 90 days

  24. Length of hospital stay

    Length of hospital stay

    Measured: 90 days

  25. Length of critical care stay

    Length of critical care stay

    Measured: 90 days

  26. Length of rehabilitation stay

    Length of rehabilitation stay

    Measured: 90 days

  27. New residence in a nursing home

    New residence in a nursing home

    Measured: 90 days and 1 year

  28. Functional Independence Measure (FIM™)

    Functional Independence Measure (FIM™)

    Measured: 30 days and 1 year

  29. SF-36 score

    SF-36 score

    Measured: 30 days and 1 year

  30. Delirium within 7 days of randomization

    Delirium within 7 days of randomization

    Measured: 7 days

  31. Hospital readmission

    Hospital readmission

    Measured: 90 days and 1 year

  32. New pressure ulcers

    New pressure ulcers

    Measured: 90 days

  33. Incisional pain

    Incisional pain

    Measured: 30 days

  34. Chronic incisional pain

    Chronic incisional pain

    Measured: 1 year

  35. Acute Kidney Injury

    Acute Kidney Injury

    Measured: 90 Day

  36. Acute Kidney Injury

    Acute Kidney Injury

    Measured: 1 Year

  37. Mortality and Institutionalization status of dependents

    Mortality and Institutionalization status of dependents

    Measured: 30 Days

  38. Mortality and Institutionalization status of dependents

    Mortality and Institutionalization status of dependents

    Measured: 1 Year

  39. Economic Analysis

    Economic Analysis

    Measured: 90 Days and 1 Year

  40. Health System Utilization, Long Term Follow up

    Health System Utilization, Long Term Follow up

    Measured: 2, 5, 10 Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jan 2014 (estimated)
  2. Study start14 Mar 2014
  3. Primary completion24 Aug 2019
  4. Study completion30 Sep 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
3,001 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02027896
Sponsor's protocol ID
HIP ATTACK Trial v5.0
Acronym
HIP ATTACK
Status last verified
Jan 2024
First submitted
2 Jan 2014
Last updated
22 Jan 2024
Results posted
No
Data monitoring committee
Yes

Publications

  • Khan JS, Mulazzani F, Devereaux PJ, Bhandari M, Guerra-Farfan E, Patel A, Shanthanna H, Slobogean G, Sigamani A, Umer M, Feibel RJ, Tiboni ME, Tandon V, Harvey V, Balasubramanian K, Vincent J, Tonelli AC, Gilron I, Torrie AM, Borges FK; HIP ATTACK Investigators. Pain as a Driver of Myocardial Injury in Hip Fracture Patients: A Hip Fracture Accelerated Surgical Treatment and Care Track (HIP ATTACK) Trial Secondary Analysis. Anesthesiology. 2026 Feb 1;144(2):289-300. doi: 10.1097/ALN.0000000000005818. Epub 2025 Oct 27.

    PubMed 41147656
  • HIP ATTACK Investigators. Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial. Lancet. 2020 Feb 29;395(10225):698-708. doi: 10.1016/S0140-6736(20)30058-1. Epub 2020 Feb 9.

    PubMed 32050090
  • Borges FK, Devereaux PJ, Cuerden M, Bhandari M, Guerra-Farfan E, Patel A, Sigamani A, Umer M, Neary J, Tiboni M, Tandon V, Ramokgopa MT, Sancheti P, John B, Lawendy A, Balaguer-Castro M, Jenkinson R, Sleczka P, Nabi Nur A, Wood GCA, Feibel R, McMahon JS, Sigamani A, Biccard BM, Landoni G, Szczeklik W, Wang CY, Tomas-Hernandez J, Abraham V, Vincent J, Harvey V, Pettit S, Sontrop J, Garg AX; HIP ATTACK investigators. Effects of accelerated versus standard care surgery on the risk of acute kidney injury in patients with a hip fracture: a substudy protocol of the hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) international randomised controlled trial. BMJ Open. 2019 Sep 24;9(9):e033150. doi: 10.1136/bmjopen-2019-033150.

    PubMed 31551393
  • Borges FK, Bhandari M, Patel A, Avram V, Guerra-Farfan E, Sigamani A, Umer M, Tiboni M, Adili A, Neary J, Tandon V, Sancheti PK, Lawendy A, Jenkinson R, Ramokgopa M, Biccard BM, Szczeklik W, Wang CY, Landoni G, Forget P, Popova E, Wood G, Nabi Nur A, John B, Sleczka P, Feibel RJ, Balaguer-Castro M, Deheshi B, Winemaker M, de Beer J, Kolesar R, Teixidor-Serra J, Tomas-Hernandez J, McGillion M, Shanthanna H, Moppett I, Vincent J, Pettit S, Harvey V, Gauthier L, Alvarado K, Devereaux PJ. Rationale and design of the HIP fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) Trial: a protocol for an international randomised controlled trial evaluating early surgery for hip fracture patients. BMJ Open. 2019 May 1;9(4):e028537. doi: 10.1136/bmjopen-2018-028537.

    PubMed 31048449

Questions about this trial

What is this clinical trial studying?

A study testing Accelerated medical clearance and surgery in people with Hip Fractures, run by McMaster University at 69 sites in 17 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in Canada, India, Spain, United States, United Kingdom and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Composite - major perioperative complication (time frame: 90 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02027896, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jan 2024.

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