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s of the facilities or summary quality scores. Development of risk reduction approaches requires assessment of processes and quality beyond the current quality measures. We investigated whether the FRAIL scale questionnaire is consistent with the Fried criteria, predicts all-cause mortality, and reflects physical dysfunction in patients with heart failure (HF). Secondary analysis of FRAGILE-HF, a cohort study that enrolled participants from 2016 to 2018 and followed-up for 1-year of discharge. A prospective multicenter cohort study in which 15 hospi