Introduction: Excessive screen exposure in children has been linked to adverse physical, behavioural, and neurodevelopmental outcomes. Hospitalization may influence screen use due to limited recreational alternatives. Sri Lankan data on in-hospital screen exposure are limited. Objectives: To describe electronic screen use patterns during hospitalization, identify associated factors, and compare screen use at home. Methods: A descriptive cross-sectional study involved children (3 months–12 years) admitted for ≥7 days to Lady Ridgeway Hospital, Colombo. Data collection used consecutive sampling, collected via validated questionnaire. Analysis used SPSS version 23.0; with p