 | |
| Host city | Medellín |
|---|---|
| Country |  Colombia |
| Edition | 13th |
| Nations | 21 |
| Athletes | 2,605 |
| Opening | 7 July 1978 |
| Closing | 28 July 1978 |
| Opened by | Alfonso López Michelsen[1] |
| Torch lighter | Ramón Hoyos[1] |
| Main venue | Estadio Atanasio Girardot |
The 13th Central American and Caribbean Games were held in Medellín, Colombia from July 7 to July 28, 1978, and included 2,605 athletes from nineteen nations, competing in 21 sports.
Athletics ()
Baseball ()
Basketball ()
Boxing ()
Cycling ()
Diving ()
Fencing ()
Football ()
Gymnastics ()
Judo ()
Shooting ()
Softball ()
Swimming ()
Synchronized swimming ()
Tennis ()
Volleyball ()
Water polo ()
Weightlifting ()
Wrestling ()* Host nation (Colombia)
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  Cuba | 120 | 44 | 18 | 182 |
| 2 |  Mexico | 25 | 48 | 43 | 116 |
| 3 |  Puerto Rico | 13 | 15 | 33 | 61 |
| 4 |  Colombia* | 8 | 24 | 36 | 68 |
| 5 |  Jamaica | 6 | 6 | 5 | 17 |
| 6 |  Venezuela | 5 | 24 | 29 | 58 |
| 7 |  Dominican Republic | 3 | 8 | 16 | 27 |
| 8 |  Costa Rica | 2 | 4 | 3 | 9 |
| 9 |  Bahamas | 2 | 0 | 2 | 4 |
| 10 |  Trinidad and Tobago | 1 | 5 | 2 | 8 |
| 11 |  Netherlands Antilles | 1 | 1 | 2 | 4 |
| 12 |  Virgin Islands | 1 | 1 | 1 | 3 |
| 13 |  Bermuda | 1 | 0 | 1 | 2 |
| 14 |  Panama | 0 | 6 | 5 | 11 |
| 15 |  Nicaragua | 0 | 1 | 2 | 3 |
| 16 |  Barbados | 0 | 1 | 0 | 1 |
 Suriname | 0 | 1 | 0 | 1 | |
| 18 |  Guatemala | 0 | 0 | 6 | 6 |
| 19 |  El Salvador | 0 | 0 | 2 | 2 |
| Totals (19 entries) | 188 | 189 | 206 | 583 | |