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on a combination of socio-demogra-              serious outbreaks of the infection in
            phic, historical, clinical, neurological        nursing homes, such as the one loca-
            and neuropsychological, biological              ted in the CAFRS, all of which forced
            (from blood tests) and neuroimaging             the lockdown of the population for se-
            (various forms of 3T MRI).                      veral months. The study of the Vallecas
                                                            Project volunteers had to be suspen-
            The participant recruitment phase for           ded for safety reasons, especially of the
            the Vallecas project lasted from Oc-            participating volunteers.
            tober 2011 to December 2013. By then,
            1,213 individuals of both genders, aged         In these circumstances, during the
            70-85 years were recruited and evalua-          month of May 2020, a telephone sur-
            ted at baseline. Once included in the           vey was designed and carried out in
            study, the project conducts an annual           which most of the Vallecas Project
            follow-up for five years to assess the          volunteers were contacted (913 volun-
            evolution profile of all participants,          teers, 90%) and the incidence, seve-
            specifically identifying those that             rity, mortality, clinical symptoms and
            develop cognitive impairment and/or             risk factors of COVID-19 in this cohort
            dementia. At the beginning of 2018, an          of elderly were established, and their
            agreement was signed between the                relationship with the type of residence
            CIEN Foundation and the Queen Sofia             and cognitive function. This telephone
            Foundation to extend the duration of            survey was also useful to reestablish
            the Vallecas Project beyond the five            contact with some of the volunteers
            years of follow-up originally planned.          who had left the project and to gather
            This second phase covered by the new            information on their current cognitive
            agreement will allow the cohort to be           and functional status.
            followed for an additional four-year
            period.
                                                            4.3.1. Baseline evaluation
            At the beginning of 2020, the sixth
            follow up visit for the whole cohort            Before entering the study, volunteers
            had been completed, were approa-                interested in participating in it were
            ching the end of the seventh, mid-way           subjected to an initial assessment to
            through the eighth and just starting            determine whether they meet the
            the ninth one. Regular monitoring of            criteria for inclusion and/or whether
            the cohort was sharply affected from            an exclusion criterion exists. Overall, all
            March 2020 onwards by the outbreak              volunteers were required to meet four
            of the SARS-Cov-2 virus, the expansion          inclusion criteria to be considered for
            of the COVID-19 pandemic, with espe-            entering the study:
            cially marked morbidity and mortali-
            ty in the elderly population, and the            •  Signing an informed consent.





               Cien Foundation annual report 2020                                                  104
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