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, 2006), with the exception that in this specific sample there was no significant gender difference and the index did not predict mortality. Overall, the COM-FI is a valid and reliable tool, although the capacity for the COM-FI to predict mortality over a 2-year period remains inconclusive given the small numbers of people at the higher ends of the frailty range. Prediction of need for social care was good, showing the utility of this community based tool. Overall, the COM-FI is a valid and reliable tool, although the capacity for the CO