{
  "abstract": "Objective\n\nWe aimed to evaluate the impact of social isolation during the coronavirus disease 2019 (COVID-19) pandemic on the health of older outpatients in São Paulo, Brazil.Methods\n\nA retrospective cohort study was conducted using the Multidimensional Assessment of the Elderly in Primary Care (AMPI-AB) tool to assess the functionality of individuals aged 60 years and older at three time-points: pre-pandemic (January 2019 - March 2020), during the pandemic (October 2021 - August 2022), and post-pandemic (September 2022 - July 2023). Data were extracted from medical records.Results\n\nAmong the 206 patients evaluated pre-pandemic, 94 were assessed during the pandemic, with 80 included in the final analysis. The mean age was 76.7 years; participants were predominantly female (66%). The number of healthy patients decreased from 52 pre-pandemic to 37 during the pandemic (18.8% reduction, p=0.001), while post-pandemic, the number of healthy patients increased to 45 (21.6% improvement from the pandemic period, p <0.001). The average AMPI-AB score rose from 4.8 points pre-pandemic to 6.2 points during the pandemic, then slightly decreased to 6.0 points post-pandemic, indicating a modest recovery in functionality.Conclusion\n\nOur findings highlight significant consequences of social isolation on the health of the older population, which are characterized by a decline in well-being and functionality during the COVID-19 pandemic. However, a notable recovery was observed post-pandemic, emphasizing the need for targeted interventions to support vulnerable older individuals in future public health crises.",
  "abstract_shown": true,
  "affiliations": [
    "Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Leonardo Trovo Zilotti",
      "orcid": "0000-0001-7676-382X"
    },
    {
      "affs": [
        0
      ],
      "name": "Alexandre Elias Romanos",
      "orcid": "0009-0006-5177-338X"
    },
    {
      "affs": [
        0
      ],
      "name": "Marcelo Kenzo Naya Takahashi",
      "orcid": "0000-0003-1091-0449"
    },
    {
      "affs": [
        0
      ],
      "name": "Alexandre Leopold Busse",
      "orcid": "0000-0002-6709-2216"
    },
    {
      "affs": [
        0
      ],
      "name": "Wilson Jacob Filho",
      "orcid": "0000-0003-2290-4492"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/crm96v5npd5qw.bib",
  "cited_by": 0,
  "doi": "10.31744/einstein_journal/2026ao1970",
  "fulltext_url": "https://europepmc.org/articles/PMC13682783",
  "id": "crm96v5npd5qw",
  "issns": [
    "1679-4508",
    "2317-6385"
  ],
  "landing_url": "https://europepmc.org/article/MED/42848637",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Aging, Health, and Disability"
    ]
  ],
  "openalex": "W7214610648",
  "pdf_url": "https://europepmc.org/articles/PMC13682783?pdf=render",
  "pmcid": "PMC13682783",
  "pmid": "42848637",
  "published": "2026-10-05",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/crm96v5npd5qw.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:10Z",
      "native_id": "MED:42848637",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42848637"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Aging, Health, and Disability",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Impact of social isolation on older outpatients during the COVID-19 pandemic.",
  "title_text": "Impact of social isolation on older outpatients during the COVID-19 pandemic.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:10Z",
  "url": "https://research.draconitic.com/paper/crm96v5npd5qw",
  "venue": "Einstein (Sao Paulo, Brazil)",
  "versions": []
}