{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:06:51Z","timestamp":1789538811524,"version":"build-2803163510"},"reference-count":23,"publisher":"Periodic Publication Moldovan Journal of Health Sciences","issue":"1","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction. Injuries represent a major public health issue, causing approximately 16,000 deaths globally each day (10% of all deaths), which is 32% more than the combined total caused by malaria, tuberculosis, and HIV\/AIDS. Over the past 15 years, the WHO and regional initiatives have supported the piloting of trauma registries in low- and middle-income countries as essential tools for monitoring, planning, and prevention. Objective. This article aims to assess the feasibility and utility of implementing a national trauma registry in the Republic of Moldova, in order to improve injury surveillance and emergency service planning. Materials and methods. In 2018, the pilot iCREATE trauma registry was tested for the first time in three countries: Moldova, Armenia, and Georgia. The data collection instrument was developed based on WHO recommendations, ICD-10, and IDB-JAMIE standards under the guidance of partners from the University of Iowa and Babe\u0219-Bolyai University, Cluj-Napoca. All trauma cases from the Institute of Emergency Medicine and the Valentin Ignatenco Municipal Clinical Children's Hospital in Chi\u0219in\u0103u were included in the registry. Results. The analyzed sample consists of 7,942 individuals, predominantly male (57.3%). The most represented age groups were 19-29 years (17.8%) and 30-39 years (17.6%), while individuals aged 70 and above accounted for 11% of the total. Most incidents occurred in urban areas (76.9%). Of the total patients, 52.4% were treated and discharged, while 37.5% required hospitalization. Injuries occurred primarily at home (55.4%) and on public roads (24.7%). The leading mechanism of injury was falls (68.2%), followed by other causes (12.2%) and cut\/pierce injuries (10.0%). The most frequently affected body regions were the head\/skull (12.5%) and knee (11.8%), followed by the hip (6.7%) and wrist (6.4%). Fractures were the most common injury type (34.5%), followed by contusions (23.0%) and open wounds (14.7%). Several gaps in data collection and reporting were identified and should be considered in future efforts to enhance trauma surveillance. Conclusions. The data highlight the need to develop a national trauma registry as an essential tool for monitoring, prevention, and effective intervention, alongside health promotion campaigns targeting vulnerable groups and the involvement of relevant stakeholders.<\/jats:p>","DOI":"10.52645\/mjhs.2026.1.11","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T17:38:32Z","timestamp":1775497112000},"page":"69-77","source":"Crossref","is-referenced-by-count":0,"title":["The iCREATE registry: a model for strengthening injury surveillance in the Republic of Moldova"],"prefix":"10.52645","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0238-3063","authenticated-orcid":false,"given":"Angela","family":"Cazacu-Stratu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-815X","authenticated-orcid":false,"given":"Svetlana","family":"Cociu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Maria","family":"Marga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9510-0007","authenticated-orcid":false,"given":"Dumitru","family":"Cartaleanu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8172-4961","authenticated-orcid":false,"given":"Diana","family":"Dulf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2493-4882","authenticated-orcid":false,"given":"Serghei","family":"Cebanu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30495","published-online":{"date-parts":[[2026,3]]},"reference":[{"key":"ref0","unstructured":"1. Holder Y, Peden M, Krug E, et al., editors. Injury surveillance guidelines. Geneva: WHO; 2001."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet. 2002;360(9339):1083-8. doi: 10.1016\/S0140-6736(02)11133-0.","DOI":"10.1016\/S0140-6736(02)11133-0"},{"key":"ref2","unstructured":"3. Cebanu, S, Cazacu-Stratu, A, Cociu, S. The role of health promotion and health education in injuries prevention. In: Sobczak-Micha\u0142owska M, et al., editors. Zdrowie - edukacja - spo\u0142ecze\u0144stwo: perspektywa mi\u0119dzynarodowa = Health - education - society: an international perspective. Bydgoszcz: Wydawnictwo Uc World Health Organization. WHO's response to health emergencies: annual report 2023. Geneva: WHO; 2024. 46 p. ISBN: 978-92-4-009745-2."},{"key":"ref3","unstructured":"5. World Health Organization. Preventing injuries and violence: an overview [Internet]. Geneva: WHO; 2021 [cited 2025 May 12]. Available from: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/61d409eb68c6-4e20-8d5b-a1ce82819b83\/content"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"6. Ringdal K, Holm KT, Roise O. The Norwegian national trauma registry: development process and essential data insights. Scand J Trauma Resusc Emerg Med. 2025;1;33(1):78. doi: 10.1186\/s13049-025-01390-7.","DOI":"10.1186\/s13049-025-01390-7"},{"key":"ref5","unstructured":"7. Centers for Disease Control and Prevention (CDC). Facts about falls [Internet]. Atlanta: CDC; 2024 [cited 2025 May 12]. Available from: https:\/\/www.cdc.gov\/falls\/data-research\/facts-stats\/index.html"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"8. Carreiro PR, Drumond DA, Starling SV, Moritz M, Ladeira RM. Implementation of a trauma registry in Brazilian public hospital: the first 1.000 patients. Rev Col Bras Cir. 2014;41(4):251-5. doi: 10.1590\/0100-69912014004005.","DOI":"10.1590\/0100-69912014004005"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"9. Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016;22(1):3-18. doi: 10.1136\/injuryprev-2015-041616.","DOI":"10.1136\/injuryprev-2015-041616"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"10.Cook A, Fry R, Desai Y, Swindall R, Boyle J, Wadle C, et al. Agricultural injury surveillance using a regional trauma registry. J Surg Res. 2022;273:181-191. doi: 10.1016\/j.jss.2021.11.018.","DOI":"10.1016\/j.jss.2021.11.018"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"11.Burns E., Kakara R. Deaths from falls among persons aged \u226565 years - United States, 2007-2016. Morb Mortal Weekly Rep. 2018;67(18):509-514. doi: 10.15585\/mmwr.mm6718a1.","DOI":"10.15585\/mmwr.mm6718a1"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"12.Stevens JA, Corso PS, Finkelstein EA, Miller TR. The costs of fatal and non-fatal falls among older adults. Inj Prev. 2006;12(5):290-295. doi: 10.1136\/ip.2005.011015.","DOI":"10.1136\/ip.2005.011015"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"13.Cociu S, Hamann C, Cebanu S, Cazacu-Stratu A, Coman MA, Peek-Asa C. Traumatic head injuries in Moldova: a cross-sectional analysis of medical registry data. Folia Med. 2023;65(5):775-782. doi: 10.3897\/folmed.65.e91262.","DOI":"10.3897\/folmed.65.e91262"},{"key":"ref12","unstructured":"14.Kisser R, Giustini M, Rogmans W, Turner S; European Association for Injury Prevention and Safety Promotion. Injuries in the European Union 2009-2018 [Internet]. Amsterdam: EuroSafe; 2021 [cited 2025 May 12]. Available from: https:\/\/www.eurosafe.eu-.com\/uploads\/inline-files\/Report%20Injuries%20in%20EU%202009-2018%20FINAL%20SEPT%2021_pdf.pdf"},{"key":"ref13","unstructured":"15.Peden M, Scurfield R, Sleet D, et al., editors. World report on road traffic injury prevention. Geneva: WHO; 2004. 217 p."},{"key":"ref14","unstructured":"16.Peden M, Oyegbite K, Ozanne-Smith J, et al., editors World report on child injury prevention. Geneva: WHO; 2008. 211 p."},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"17.Hyder AA. Injuries in low- and middle-income countries: a neglected disease in global public health. Injury. 2013;44(5):579-80. doi: 10.1016\/j.injury.2013.01.028.","DOI":"10.1016\/j.injury.2013.01.028"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"18.Cassidy LD, Carroll LJ, Peloso PM, Borg J, von Holst H, Holm L, et al. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med. 2004;(43 Suppl):28-60. doi: 10.1080\/16501960410023732.","DOI":"10.1080\/16501960410023732"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"19.Thompson DC, Rivara FP, Thompson R. Helmets for preventing head and facial injuries in bicyclists. Cochrane Database Syst Rev. 2000;1999(2):CD001855. doi: 10.1002\/14651858.CD001855.","DOI":"10.1002\/14651858.CD001855"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"20.Johnell O, Kanis JA. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int. 2006;17(12):1726-1733. doi: 10.1007\/s00198-006-0172-4.","DOI":"10.1007\/s00198-006-0172-4"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"21.Naranje SM, Erali RA, Warner WC Jr, Sawyer JR, Kelly DM. Epidemiology of pediatric fractures presenting to emergency departments in the United States. J. Pediatr Orthop. 2016;36(4):e45-8. doi: 10.1097\/BPO.0000000000000595.","DOI":"10.1097\/BPO.0000000000000595"},{"key":"ref20","unstructured":"22.Cociu S. Road traffic injuries surveillance - a pilot study in the Republic of Moldova. In: MedEspera: 8th International Medical Congress for Students and Young Doctors; 2020 Sep 24-26; Chi\u015fin\u0103u. Chisinau, Republic of Moldova: Abstract book. Chisinau; 2020. p. 300-301. ISBN 978-9975-151-11-5."},{"key":"ref21","unstructured":"23.International Transport Forum. Road safety annual report 2022 [Internet]. Paris: OECD; 2022 [cited 2025 May12]. Available from: https:\/\/www.itf-oecd.org\/sites\/default\/files\/docs\/irtad-road-safety-annual-report-2022.pdf."},{"issue":"8","key":"ref22","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1080\/15389588.2022.2106476","article-title":"Child safety restraint patterns in Moldova","volume":"23","author":"Cazacu-Stratu","year":"2022","unstructured":"24.Cazacu-Stratu A, Varga N, Cociu S, Dulf D, PeekAsa C. Child safety restraint patterns in Moldova. Trafic Inj Prev. 2022;23(8):48","journal-title":"Trafic Inj Prev"}],"container-title":["Moldovan Journal of Health Sciences"],"original-title":[],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:47:04Z","timestamp":1789537624000},"score":1,"resource":{"primary":{"URL":"https:\/\/mjhs.md\/articles\/the-icreate-registry-a-model-for-strengthening-injury-surveillance-in-the-republic-of-moldova-472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.52645\/mjhs.2026.1.11","relation":{},"ISSN":["2345-1467"],"issn-type":[{"value":"2345-1467","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]}}}