Accelerated care versus standard care among patients with hip fracture: the HIP ATTACK pilot trial.

ABSTRACT:

Background

A hip fracture causes bleeding, pain and immobility, and initiates inflammatory, hypercoagulable, catabolic and stress states. Accelerated surgery may improve outcomes by reducing the duration of these states and immobility. We undertook a pilot trial to determine the feasibility of a trial comparing accelerated care (i.e., rapid medical clearance and surgery) and standard care among patients with a hip fracture.

Methods

Patients aged 45 years or older who, during weekday, daytime working hours, received a diagnosis of a hip fracture requiring surgery were randomly assigned to receive accelerated or standard care. Our feasibility outcomes included the proportion of eligible patients randomly assigned, completeness of follow-up and timelines of accelerated surgery.

SUBMITTER: Hip Fracture Accelerated Surgical Treatment and Care Track (HIP ATTACK) Investigators 

PROVIDER: S-EPMC3883849 | biostudies-literature | 2014 Jan

REPOSITORIES: biostudies-literature