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Background and Objectives: The COVID-19 pandemic posed significant challenges to healthcare systems worldwide, and mortality rates were driven by a complex interaction of patient-specific factors, one of the most important being those related to the scheduling of invasive mechanical ventilation. This study examined the sociodemographic, clinical, and ventilatory factors associated with mortality in COVID-19 patients admitted to the ICU of a hospital in Colombia. Methods: A retrospective cohort study was conducted, involving 116 patients over the age of 18 who were admitted to the ICU with a confirmed diagnosis of COVID-19 between March 2020 and May 2021. Data were collected from the patients' medical records. Statistical analysis was performed using SPSS version 24®. Odds ratios (OR) and 95% confidence intervals were calculated to identify factors associated with COVID-19 mortality, followed by adjustment through binary logistic regression. Results: It was found that 65.5% of the patients were male, with a mean age of 64 ± 14 years, and the overall mortality rate was 49%. Factors significantly associated with higher mortality included male sex (OR: 6.9, 95% CI: 1.5–31.7), low oxygen saturation on admission (OR: 7.6, 95% CI: 1.1–55), and PEEP settings at 96 h (OR: 8, 95% CI: 1.4–45). Mortality was not influenced by socioeconomic status or health system affiliation. Conclusions: This study identified male sex, age over 65 years, PEEP greater than 10 cmH2O at 96 h of mechanical ventilation, and low oxygen saturation as significant factors associated with higher mortality in COVID-19 patients, while no significant associations were found with socioeconomic status or health system affiliation. These findings highlight the importance of focusing on clinical management and ventilatory strategies in reducing mortality, particularly for high-risk groups, rather than relying on socioeconomic factors as predictors of outcomes. [ABSTRACT FROM AUTHOR]

Introduction: Physical exercise has been shown to have a favorable impact on the health of the individual. Its combination with other healthy lifestyles can positively impact various areas, including sleep quality., Objective: To determine the frequency of excessive daytime sleepiness in older adults of a municipal physical activity program in Santiago de Cali, Colombia., Methodology: Cross-sectional study that included 605 older adults from a community program of the Secretary of Recreation and Sports of the City of Cali, Colombia, during October 2018 and June 2019. To determine the presence of excessive daytime sleepiness, the Epworth Sleepiness Scale was used., Results: 81.5% of the population was female with a mean age of 73±8 years. The prevalence of excessive daytime sleepiness was 10.5%. Significant differences were only found in the frequency of excessive daytime sleepiness by socioeconomic stratum, being more common in the low socioeconomic stratum (13% vs 4% P=0.03)., Conclusion: Excessive daytime sleepiness is a phenomenon that affects older adults; however, its frequency may be lower in those who are physically active., (Universidad Nacional de Córdoba)

Objective: To determine adherence, overall and by components, to the Helping Babies Breathe strategy by physicians caring for neonates in an intermediate complexity institution., Methods: Cross-sectional study that included live neonates born by spontaneous vaginal delivery and who received care from pediatricians, gynecologists or interns in the delivery room of a university hospital in the city of Cali, Colombia, in 2017. Fetuses with major congenital malformations, twins, and neonates with less than 34 weeks of gestational age were excluded. Sampling was systematic and the sample size was of 150 neonates. Baseline neonatal and maternal characteristics were assessed, as well as adherence to the Helping Babies Breathe strategy by physicians and its components. A descriptive analysis was performed., Results: Adherence to the Helping Babies Breathe was 65.6% (95% CI 53.8-78.4) for pediatricians, 33.33% (95% CI: 4.3-77.7) for obstetricians and gynecologists, and 75.3% (95% CI: 64.8-85.1) for interns. The lowest frequency was found for cap placement on the neonate's head (64.90%; 95% CI: 56.7- 72.4) and placement of the baby in contact with the mother's skin, (65%; 95% CI: 55.9-74.4); the highest frequency was found for covering the baby with warm blankets (98.6%: 95% CI: 95.3-99.8), and positive pressure ventilation in cases of absent response to initial stimulation (100%; 95% CI 30-100)., Conclusions: Results pertaining to the degree of adherence on the part of the practitioners suggest the need to implement continuous education and evaluation processes focused on the application of this proven strategy in institutions offering child-birth care., Competing Interests: None declared, (Copyright© 2019 This is an open-access article distributed under the terms of the Creative Commons Attribution License by-nc-nd/4.0.)