Early calcium and phosphorus supplementation in VLBW infants to reduce metabolic bone disease of prematurity: a quality improvement initiative.
M V KrithikaUmamaheswari BalakrishnanPrakash AmboiramMohammed Shafi Jan ShaikAshok ChandrasekaranBinu NinanPublished in: BMJ open quality (2022)
Implementation of QI initiatives decreased the MBD rate from 35% to <20%. Early parenteral calcium and phosphorus supplementation in TPN and optimising enteral supplementation with multicomponent fortifiers appear to have significant reduction in the incidence of MBD.