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5 (standard deviation 8.2) and 7.6 (standard deviation 10.2) in those without frailty. In adjusted analysis, frailty was associated with fewer days alive at home at 30 (ratio of means [RoM] 0.68; 95% confidence interval [CI] 0.60-0.78; P0.001) and 365 days (RoM 0.72; 95% CI 0.64-0.82; P0.001). Individuals with frailty had a higher probability of poor recovery status, with effects increasing across the first postoperative month. In patients with critical illness requiring emergency general surgery, frailty is associated with few