Kriti Gupta

All Publications

• Vague Abdominal Pain in Pubertal Females: Beyond the Usual Culprits. Clinical pediatrics Gupta, K., Beachwood, H., Rhodes, T., Dahan, N. 2024; 63 (11): 1615-1619

  View details for DOI 10.1177/00099228241234964

  View details for PubMedID 38415600

• Measles: taking steps forward to prevent going backwards. Current opinion in pediatrics Gupta, K., Chen, M., Rocker, J. 2020; 32 (3): 436-445

  Abstract

  The measles vaccine, first introduced in 1963, directly led to a dramatic decrease in the incidence of the disease. Measles transitioned from being a common childhood disease, affecting approximately three to four million children annually, to being eradicated in the United States in 2000. What was once an astounding victory for modern medicine, however, has recently seen a dramatic reversal in fortune, with a resurgence of measles cases in the United States. Hence, it merits careful discussion.The United States has seen more measles cases in 2019 than in any prior year in the past 30 years. These outbreaks are because of many factors but a significant cause is the increase in vaccine refusal within sub-populations in America. This finding indicates that the current approach that healthcare workers take with families towards MMR vaccination could be more effective.This article aims to educate the reader about the measles virus and its clinical presentation, the MMR vaccine and its overwhelming success, and the concerning current national and international trends in measles outbreaks. Importantly, we focus on positions proposed by hesitant vaccinators and determine how medical providers can participate in productive conversation about vaccination to better gain trust and guide improved shared clinical decision-making.

  View details for DOI 10.1097/MOP.0000000000000895

  View details for PubMedID 32374581

• Prevalence of Continuous Pulse Oximetry Monitoring in Hospitalized Children With Bronchiolitis Not Requiring Supplemental Oxygen. JAMA Bonafide, C. P., Xiao, R., Brady, P. W., Landrigan, C. P., Brent, C., Wolk, C. B., Bettencourt, A. P., McLeod, L., Barg, F., Beidas, R. S., Schondelmeyer, A. 2020; 323 (15): 1467-1477

  Abstract

  US national guidelines discourage the use of continuous pulse oximetry monitoring in hospitalized children with bronchiolitis who do not require supplemental oxygen.Measure continuous pulse oximetry use in children with bronchiolitis.A multicenter cross-sectional study was performed in pediatric wards in 56 US and Canadian hospitals in the Pediatric Research in Inpatient Settings Network from December 1, 2018, through March 31, 2019. Participants included a convenience sample of patients aged 8 weeks through 23 months with bronchiolitis who were not receiving active supplemental oxygen administration. Patients with extreme prematurity, cyanotic congenital heart disease, pulmonary hypertension, home respiratory support, neuromuscular disease, immunodeficiency, or cancer were excluded.Hospitalization with bronchiolitis without active supplemental oxygen administration.The primary outcome, receipt of continuous pulse oximetry, was measured using direct observation. Continuous pulse oximetry use percentages were risk standardized using the following variables: nighttime (11 pm to 7 am), age combined with preterm birth, time after weaning from supplemental oxygen or flow, apnea or cyanosis during the present illness, neurologic impairment, and presence of an enteral feeding tube.The sample included 3612 patient observations in 33 freestanding children's hospitals, 14 children's hospitals within hospitals, and 9 community hospitals. In the sample, 59% were male, 56% were white, and 15% were black; 48% were aged 8 weeks through 5 months, 28% were aged 6 through 11 months, 16% were aged 12 through 17 months, and 9% were aged 18 through 23 months. The overall continuous pulse oximetry monitoring use percentage in these patients, none of whom were receiving any supplemental oxygen or nasal cannula flow, was 46% (95% CI, 40%-53%). Hospital-level unadjusted continuous pulse oximetry use ranged from 2% to 92%. After risk standardization, use ranged from 6% to 82%. Intraclass correlation coefficient suggested that 27% (95% CI, 19%-36%) of observed variation was attributable to unmeasured hospital-level factors.In a convenience sample of children hospitalized with bronchiolitis who were not receiving active supplemental oxygen administration, monitoring with continuous pulse oximetry was frequent and varied widely among hospitals. Because of the apparent absence of a guideline- or evidence-based indication for continuous monitoring in this population, this practice may represent overuse.

  View details for DOI 10.1001/jama.2020.2998

  View details for PubMedID 32315058

  View details for PubMedCentralID PMC7175084

• Adiposity in Children with Juvenile Psoriatic Arthritis (JPsA) Samad, A., Stoll, M. L., Lavi, I., Gupta, K., Hsu, J., Strand, V., Mellins, E. D., Zisman, D., CARRA Registry Investigators WILEY-BLACKWELL. 2015

  View details for Web of Science ID 000370860202741