Short communication Limits to deficit accumulation in elderly people

We evaluated limits to the accumulation of deficits (symptoms, diseases, disabilities) for 33,069 people aged 65+ years. We combined deficits in a frailty index (theoretical range 0–1) and found that the 99% limit varied little between samples, representing a frailty index value of about 0.65 0.05. This near-maximum shows no relationship with age. It is the same in community and institutional samples, even though the mean value is much higher in the latter. The data suggest a level of frailty beyond which, even in developed countries, further deficit accumulation is not sustainable. # 2006 Elsevier Ireland Ltd. All rights reserved.