Moldovan journal of health sciences = Revista de Stiinte ale Sanatatii din Moldova最新文献

{"title":"The iCREATE registry: a model for strengthening injury surveillance in Republic of Moldova.","authors":"Angela Cazacu-Stratu, Svetlana Cociu, Patricia Maria Marga, Dumitru Cartaleanu, Diana Dulf, Serghei Cebanu","doi":"10.52645/MJHS.2026.1.11","DOIUrl":"10.52645/MJHS.2026.1.11","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Materials and methods: </strong>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 Babes Bolyai University, Cluj-Napoca. All trauma cases from the Institute of Emergency Medicine and the <i>Valentin Ignatenco</i> Municipal Clinical Children's Hospital in Chișinău were included in the registry.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":524131,"journal":{"name":"Moldovan journal of health sciences = Revista de Stiinte ale Sanatatii din Moldova","volume":"13 1","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148428666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}