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The application of NUS with NOESY comes at two major costs the interatomic distances are determined with lower accuracy and long-range correlations are lost. Frailty is associated with numerous post-operative adverse outcomes in older adults. Current pre-operative frailty screening tools require additional data collection or objective assessments, adding expense and limiting large-scale implementation. To evaluate the association of an automated measure of frailty integrated within the Electronic Health Record (EHR) with post-operative out