Nutrition care bundles was associated with improved growth

An interesting paper came on my radar, about the importance of a structured nutrition strategy for preterm infant (https://www.sciencedirect.com/science/article/pii/S0378378224002202)

It is a single-center experience in Budowice in the Czech Republic, comparing the time before and after a "nutrition care bundle" was introduced. In short, the bundle consisted of following changes:

• parenteral nutrition strategy
• targeted individualized fortification of breast milk (using software-based nutrient calculation system)
• anthropometric dynamics (z-score)
• weekly multidisciplinary nutrition round
• max total volume/kg/day was changed from 180 -> 150

The reported results are clearly relevant: infants reached full enteral feeding quicker, and had more favourable growth dynamics (less drop in weight and head circumference Z-score). Interestingly, PDA rates also decreased (discussed as related to lower volume intake / day).

Although a small study etc, the results are good food for thought.

What does your nutrition strategy/guideline look like? Would be interesting to hear, given how many ways there are to reach Rome, as the saying goes