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Multicentre, international, parallel group randomized controlled trial to determine whether accelerated surgery for hip fracture in patients with acute myocardial injury is superior to standard care in reducing death at 90 days after randomizatio

Not Applicable
Conditions
Health Condition 1: S790- Physeal fracture of upper end of femur
Registration Number
CTRI/2022/08/045084
Lead Sponsor
Population Health Research Institute
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1) age =45 years;

2) diagnosis of hip fracture during working hours with a low-energy mechanism requiring surgery;

3) troponin elevation on hospital arrival (at least one troponin level from hip fracture occurrence to randomization above the upper limit of normal); and

4) written informed consent.

Exclusion Criteria

1) taking a therapeutic dose of an anticoagulant for which no reversing agent is available;

2) patients on a therapeutic vitamin K antagonist with a history of heparin induced thrombocytopenia (HIT);

3) patients with peri-prosthetic fracture, open fracture or bilateral fractures;

4) patients requiring an emergency surgery for another reason (e.g., subdural hematoma);

5) patients with acute myocardial infarction with a mechanical complication (i.e., acute papillary muscle rupture, ventricular septal defect), ST elevation myocardial infarction, or cardiogenic shock;

6) patients refusing consent; or

7) patients previously enrolled in HIP ATTACK-2.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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