Improved Care and Prevention Improving hip-fracture care

PJ Devereaux, McMaster University
PJ Devereaux,
McMaster University

HIP fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) – Randomized Controlled Trial of Accelerated Medical Clearance and Surgery versus Standard Care for Hip Fracture


  • 35,000 Canadians, mostly seniors, suffer a hip fracture every year. Many hip fracture patients will die or suffer a major complication within 30 days. In Canada, most patients typically wait more than 24 hours to have surgery.  However, there is some evidence to suggest that early surgical treatment of a hip fracture may improve patients’ outcomes.


  • This project will determine if accelerated surgical care (i.e. within 6 hours of diagnosis) will improve patient outcomes (i.e. reduced 30-day risk of death and other major complications in adults with a hip fracture). This is the first large-scale trial to address if, in the current system, elderly hip fracture patients receive equity in health care delivery and will determine if accelerated surgery can improve their outcomes.

Patient Engagement

  • Patient and family representatives spoke at a stakeholder planning meeting, stressing the importance of certain aspects of post-op surgical care. Their thoughts influenced the ethical/value considerations of this trial. Patient representatives will continue to participate in meetings as auditors, provide feedback on trial progress and issue reports.
  • Canadian Policy Research Networks, Health Care Accountability Papers, as well as the CIHR citizen engagement framework.

Publications and Multimedia