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Objectives To evaluate six-month risk stratification capacity of the newly developed TeleHFCovid19-Score for remote management of older patients with heart failure (HF) during Coronavirus disease 2019 pandemic. Design Monocentric observational prospective study. Setting and Participants Older HF outpatients remotely managed during the first pandemic wave. Methods The TeleHFCovid19-Score (0-29) was obtained by an ad hoc developed multiparametric standardized questionnaire administered during telephone visits to older HF patients (and/or caregivers) followed at our HF clinic. Questions were weighed on the basis of clinical judgment and review of current HF literature. According to the score, patients were divided in progressively increasing risk groups: green (0-3), yellow (4-8) and red (≥9). Results 146 patients composed our study population: at baseline, 112, 21 and 13 were classified as green, yellow, and red respectively. Mean age was 81±9 years, females were 40%. Compared to patients of red and yellow groups, those in the green group had a lower use of high dose loop diuretics (p, Graphical abstract