Introduction: Skin tears (ST) are acute wounds caused by shear and friction forces or mechanical trauma resulting in separation of skin layers.It may be present in any anatomical region, but in general, it mainly affect the upper limbs and there is a higher occurrence in elderly individuals and newborn children.Objective: To analyze the prevalence of ST and the demographic and clinical associated factors with their occurrence in patients admitted to the Intensive Care Unit (ICUs) of public, university and private hospitals.Methods: This is an observational, epidemiological, crosssectional study with a quantitative approach conducted in 2018.The study was conducted in nine ICUs of public, university and private hospitals located in São Paulo and Campinas city.The collection occurred in a single day according to the authorization of the nursing management in order to not harm the routine of the Units.Demographic and clinical data were collected through medical records.The ST was identified through physical examination of the skin and it was classified according to the STAR Classification System.The data were analyzed using the Pearson Chisquare test, Two Sample T-test, Brunner-Munzel, Wilcoxon-Mann-Whitney, Fisher exact test and the decision tree model with the Classification and Regression Tree(CART) algorithm.The level of statistical significance adopted was 5%.Results: The sample consisted of 377 patients, with a predominance of males (199/52.79%),with ages ranging from 18 to 100 years and mean of 62.71 years (SD = 17.20).Most participants were hospitalized in university hospitals (182/48.27%)and had emergency admission (127/33.69%),with a mean ICU stay of 19.60 days (SD 75.05).Regarding comorbidities, 141 (37.40%) participants were diabetic, 80 (21.22%) had renal failure and 70 had heart failure (18.57%).Fifty-one patients presented ST, implying a prevalence of 13.53%.Fourteen presented more than one lesion, totaling 91 ST.The most prevalent ST category was 1b (26/28.57%)and the place of greatest occurrence were the upper limbs (43/47.25%).The CART showed three factors associated with LF: mean systolic blood pressure lower than 124.75 mmHg, completely wet skin by evaluation of the Moisture subscale of the Braden Scale and age less than 68.5 years. Conclusion:The point prevalence of ST identified in critical care patients in the present study was 13.53% and the associated factors with its occurrence were mean SBP less than 124.75 mmHg, skin moisture and age less than 68.5 years old.It is hoped that this research can motivate new studies in the identification of determinant factors for ST in the various contexts of care practice.