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An open access trauma registry for developing countries: a tested selected minimal dataset with its free database

Sami Shaban1,2, Hani O Eid1,3, Fikri M Abu-Zidan4,5

  • 1Trauma and Emergency Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain City, Abu-Dhabi, United Arab Emirates.

World Journal of Emergency Surgery : WJES
|May 29, 2026
PubMed
Summary

Developing a minimal trauma registry dataset and database can help low- and middle-income countries (LMICs) establish sustainable, low-cost injury surveillance systems. This free, 80-variable tool supports prevention and research in resource-limited settings.

Keywords:
Developing countriesMinimal datasetTrauma registry

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Area of Science:

  • Public Health
  • Trauma Surgery
  • Health Informatics

Background:

  • Injury represents a significant global health burden, particularly in low- and middle-income countries (LMICs).
  • Sustainable trauma registries in LMICs necessitate concise, locally relevant, and cost-effective solutions.
  • This paper introduces a minimal trauma registry dataset and database designed for LMIC settings.

Purpose of the Study:

  • To develop and validate a minimal trauma registry dataset and accompanying database for use in LMICs.
  • To provide a free, accessible tool for establishing locally owned and sustainable trauma registries.
  • To balance the need for prevention variables with core outcome measures for benchmarking.

Main Methods:

  • Sequential design, implementation, and refinement of two registries (200-variable single-center, 50-variable multicenter) over 7 years.
  • Development of an 80-variable minimal dataset based on feasibility, data completeness, clinical usefulness, and research utility.
  • Variables selected focused on personal details, trauma specifics, emergency assessment, outcomes, and injury scoring.

Main Results:

  • Experience from initial registries led to 42 publications, informing the final minimal dataset.
  • The final registry tool comprises an 80-variable, seven-section dataset.
  • The dataset includes prevention variables (e.g., safety equipment) and outcome variables for system evaluation.

Conclusions:

  • A minimal, carefully selected dataset enables clinically useful, prevention-oriented, and affordable trauma surveillance in resource-limited environments.
  • The freely available dataset and MS Access database can facilitate the establishment of scalable and sustainable trauma registries in LMICs.
  • Successful implementation requires planning for resources, maintenance, governance, data quality, and reporting.