Peer-Reviewed Publication
Lancet Healthy Longev2026;7(5):100848.May 1, 2026Journal Article

Accelerated deficit accumulation in frailty and associations with adverse outcomes: a longitudinal population data analysis.

Lara Johnson1, Bruce Guthrie1, Atul Anand2, Alan Marshall3, Sohan Seth4
1Advanced Care Research Centre, University of Edinburgh, Edinburgh, UK.
2Advanced Care Research Centre, University of Edinburgh, Edinburgh, UK; Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
3Advanced Care Research Centre, University of Edinburgh, Edinburgh, UK; School of Social and Political Science, University of Edinburgh, Edinburgh, UK.
4Advanced Care Research Centre, University of Edinburgh, Edinburgh, UK; School of Informatics, University of Edinburgh, Edinburgh, UK. Electronic address: sohan.seth@ed.ac.uk.

Abstract

BACKGROUND: Frailty, reflecting increased vulnerability to adverse outcomes, is commonly measured by the accumulation of health deficits. We aimed to determine whether periods of accelerated deficit accumulation involve specific deficits and whether these periods provide additional prognostic value for adverse outcomes beyond total deficit count. METHODS: In this longitudinal cohort study, we ana…

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