{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:58:00Z","timestamp":1790521080275,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:p>\n                    Children with chronic illnesses, including complex chronic conditions (CCCs) and life-limiting or life-threatening conditions (LLCs\/LTCs), have multidimensional care needs that are not consistently identified in practice, leading to fragmented care and delayed supportive interventions. Existing assessment tools are often population-specific and focus on classification or referral identification. This study aimed to develop and psychometrically validate the Riyadh Pediatric Complexity and Palliative Needs Assessment Scale (Riyadh-Peds-ComPASS), a rapid, multidimensional triage tool designed to identify children and adolescents with medical complexity and palliative care needs, facilitate timely referral to specialized services, and support care planning. The tool development involved three phases: item development, theoretical analysis, and psychometric evaluation. Criterion validity, predictive validity, and inter-rater reliability were assessed. Large-scale validation included 150 children and adolescents (birth to 21\u00a0years) with diverse diagnoses and care needs at a tertiary care center in Saudi Arabia. The two-page Riyadh-Peds-ComPASS reliably assessed six domains of care complexity and generated a color-coded score (1-5) to guide interventions. The tool differentiated complexity levels and was usable by frontline healthcare providers with minimal training. Higher scores were significantly associated with DNAR status (adjusted OR = 4.32, 95% CI 2.27-8.20,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001), mortality within six months (adjusted OR = 6.06, 95% CI 2.30-16.00,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001), and palliative care involvement (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    = 49.41,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). The Riyadh-Peds-ComPASS appears to be a practical triage tool that may support early identification of medical complexity and palliative care needs, guide care planning, facilitate timely referrals, and improve care coordination across pediatric populations.\n                  <\/jats:p>","DOI":"10.1177\/10499091261489250","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:03:36Z","timestamp":1790276616000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Riyadh-Peds-ComPASS: Development and Validation of a Pediatric Complexity and Palliative Triage Tool"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4698-6365","authenticated-orcid":false,"given":"Khaled","family":"Alghamdi","sequence":"first","affiliation":[{"name":"King Faisal Hospital and Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5621-0424","authenticated-orcid":false,"given":"Kim","family":"Sadler","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Callaghan","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wejdan","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saadiya","family":"Khan","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fawad","family":"Ahmad","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamad Hussain","family":"Alyami","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gassan","family":"Abudari","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Lysecki","sequence":"additional","affiliation":[{"name":"Pediatric Palliative Care Medicine, McMaster University, Hamilton, Ontario, Canada"},{"name":"McMaster Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott H.","family":"Maurer","sequence":"additional","affiliation":[{"name":"UPMC Children\u2019s Hospital of Pittsburgh, Pennsylvania, USA"},{"name":"University of Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sufia","family":"Husain","sequence":"additional","affiliation":[{"name":"King Fahad Specialist Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Nancarrow","sequence":"additional","affiliation":[{"name":"Whittington NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12519-023-00730-w"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000793"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/PEDS.2018-3747"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/26323524231201868"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/children12080967"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000042"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.21037\/pm-20-101"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-14-199"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-064556"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13201"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-3021"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm14090956"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/cch.13336"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2023-326766"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckaf161.1693"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231163258"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/children10081406"},{"key":"e_1_3_8_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41155-016-0057-1"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00149"},{"key":"e_1_3_8_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.20579"},{"key":"e_1_3_8_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2023.0303"},{"key":"e_1_3_8_23_2","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2020-0066"},{"key":"e_1_3_8_24_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3875"},{"key":"e_1_3_8_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2020.0148"},{"key":"e_1_3_8_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-12-20"},{"key":"e_1_3_8_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-026-02031-1"},{"key":"e_1_3_8_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216321996983"},{"key":"e_1_3_8_29_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2023.0292"},{"key":"e_1_3_8_30_2","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2022-003713"},{"key":"e_1_3_8_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2023.08.017"},{"key":"e_1_3_8_32_2","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_3_8_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261489250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091261489250","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261489250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:30:48Z","timestamp":1790519448000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091261489250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":32,"alternative-id":["10.1177\/10499091261489250"],"URL":"https:\/\/doi.org\/10.1177\/10499091261489250","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"10499091261489250"}}