Broom, MargaretDunk, Ann MarieABDEL-LATIF, Mohamed E.2023-02-142023-02-141178-6329http://hdl.handle.net/1885/285216Background: Skin injuries remain common in neonates admitted to neonatal intensive care units. While predicting neonates at risk of skin injury may assist in reducing the incidence of injury, currently there is limited evidence on which tool may be superior. Methods: A prospective study was completed during November-December 2016 to evaluate the predictive value of the Skin Risk Assessment and Management Tool (SRAMT). Comparisons were made between SRAMT and Neonatal/Infant Braden-Q Scale (BQS) as well as staff’s capacity to predict a neonate’s risk of skin injury. Data collected included gestation, weight, day of assessment, injury types, causation, medical devices in situ and risk scores. Results: In total, 248 assessments were completed with 38% (93) recorded skin injuries. Median (interquartile range) gestation and weight at assessment were 36.7 (26.86-56.86) weeks and 2.44 (0.99-4.06) kg, respectively. Receiver operating characteristic curve analysis showed the SRAMT had AUC (SE) of 0.94 (0.02) compared with 0.82 (0.03) for BQS (0.011, P < .001). The SRAMT and BQS had sensitivity of [(90.0 (80.5-95.9), 72.86 (60.9-82.8)] and specificity [(88.46 (81.7-93.4), 79.23 (71.2-85.8)], respectively. Conclusion: In this study, the SRAMT’s capacity to predict neonates at risk of injury was higher than the Neonatal BQS and staff. Predicting injuries remains complex and often multifactorial.We also acknowledge the ACT Nursing and Midwifery Research Office for the Practice Development Grant that assisted with study funding. Our group also acknowledge all the other teams across the world who have developed paediatric skin tools that we have learnt from; you have greatly assisted us in developing a tool to meet the needs of our NICUapplication/pdfen-AU© The Author(s) 2019https://creativecommons.org/licenses/by-nc/4.0/Infantrisk assessmentpressure injuryskin injury201910.1177/11786329198456302021-12-02Creative Commons Non Commercial CC BY-NC