Which of the following is listed as an additional factor not considered major, that may increase risk?

• A. Age
• B. Vomiting
• C. Neuromuscular disease
• D. Tracheal intubation

Answer: (A)

In assessing risk for aspiration or complications during nutrition support, major risk factors are those that directly impair airway protection or swallowing. Vomiting, neuromuscular disease affecting swallow, and tracheal intubation are direct factors that markedly raise risk and thus are considered major. Age, while it can contribute to overall risk through frailty or comorbidities, is not a primary predictor by itself and is viewed as an additional factor that may increase risk but isn’t a major determinant. Therefore, age is the best choice as the additional factor not considered major.