What does this research mean for the field?

Severe dehydration, delayed presentation, frequent vomiting, hyponatremia, low serum bicarbonate, and intravenous fluid therapy are independent predictors of prolonged hospitalization in children with acute gastroenteritis. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify clinical, laboratory, demographic, and treatment-related predictors of prolonged hospital stay exceeding four days among pediatric patients admitted with acute gastroenteritis.

September 1, 2026Open Access

Predictors of Prolonged Hospital Stay Among Children With Acute Gastroenteritis

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Authors

2R2Dr. Ihab Ibrahim Radhi *1Dr. Muntaser Issa Rhema

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Implication

Observational study reveals severe dehydration and metabolic abnormalities predict extended hospitalization in pediatric gastroenteritis, highlighting targets for early clinical intervention.

Key Points

To identify clinical, laboratory, demographic, and treatment-related predictors of prolonged hospital stay exceeding four days among pediatric patients admitted with acute gastroenteritis.
Conducted a hospital-based analytical study of 300 pediatric patients admitted with acute gastroenteritis at Baladruz Hospital, Diyala Governorate, Iraq, between August 2024 and June 2026.
Categorized outcomes into non-prolonged (≤4 days) and prolonged (>4 days) hospitalization, using univariate and multivariable logistic regression analyses to evaluate independent predictors.
Prolonged hospitalization (>4 days) occurred in 24.0% (72/300) of children, with an overall mean hospital stay of 3.6 ± 2.4 days.
Independent clinical predictors of prolonged stay included severe dehydration (adjusted OR=3.40, 95% CI: 1.70–6.80, P<0.001), illness duration ≥3 days prior to admission (adjusted OR=2.30, 95% CI: 1.30–4.10, P=0.004), and frequent vomiting (adjusted OR=2.10, 95% CI: 1.20–3.80, P=0.009).
Laboratory and treatment predictors were hyponatremia (adjusted OR=2.60, 95% CI: 1.30–5.10, P=0.006), low serum bicarbonate (adjusted OR=2.20, 95% CI: 1.10–4.30, P=0.025), and intravenous fluid therapy (adjusted OR=1.80, 95% CI: 1.00–3.20, P=0.041).

Cite This Study

2Dr. Ihab Ibrahim Radhi *1Dr. Muntaser Issa Rhema (2026) studied this question.

synapsesocial.com/papers/6a96914e7a497a6ca291f481 https://doi.org/10.5281/zenodo.22160490

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Implication

Observational study reveals severe dehydration and metabolic abnormalities predict extended hospitalization in pediatric gastroenteritis, highlighting targets for early clinical intervention.

Predictors of Prolonged Hospital Stay Among Children With Acute Gastroenteritis

Discussion

Member takes

Implication

Key Points

Cite This Study

Predictors of Prolonged Hospital Stay Among Children With Acute Gastroenteritis

Discussion

Member takes

Implication

Key Points

Cite This Study

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