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We report results according to Transparent Reporting of Multivariable Prediction Model for Individual Prognosis guidelines. Development cohort (N = 55,54 cluster analysis delineated thirteen baseline conditions constituting the RFF Index. Among external validation cohort (N = 77,71, increasing frailty risk (low [reference group], moderate, high) was associated with stepwise worsening adjusted odds of mortality (1.5[1.2-1.7], 3.5 [3.0-4.0]), intubation (2.4[1.5-3.9], 4.7[3.1-7.5]), hospitalization ≥5 days (1.4[1.3-1.5], 1.8[1.7-2.0])