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Serious falls in the previous two years were related to pre-frailty (OR = 1.815, 95% CI 1.153-2.859) and frailty (OR = 2.797, 95% CI 1.655-4.727). In addition, frail individuals were found to be at higher risk for outpatient visits over the previous month (OR = 2.091, 95% CI 1.502-2.911) and readmission over the previous year (OR = 2.033, 95% CI 1.480-2.792) in the analysis. Pre-frailty and frailty were positively associated with major adverse outcomes, including falls and serious falls; they were also associated with more frequent outp