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The phrase "a paramount risk factor" is correct and usable in written English.
It can be used when discussing a significant or critical element that contributes to a risk in a particular context, such as health, finance, or safety.
Example: "Smoking is considered a paramount risk factor for developing lung cancer."
Alternatives: "a major risk factor" or "a critical risk factor".
Exact(1)
Epidemiologic studies indicate the presence of an excessive amount of mud or a generally moist environment as a paramount risk factor [ 13], which was recently confirmed in a successful experimental infection model [ 14].
Similar(59)
Old age is one paramount risk factor for developing delirium, together with a number of risk factors such as diabetes, volume load during operation [ 13] and prolonged mechanical ventilation [ 14].
On the other hand, CO2 migration beyond the volume designed for effective trapping is a paramount risk.
The current effort sought to explore in a randomized, controlled study whether benchmarking could have an impact on care of patients with type 2 diabetes in the primary care setting by improving rates of target achievement for the three paramount cardiovascular risk factors.
With cardiovascular disease being the leading cause of mortality among patients with serious mental illness, monitoring for metabolic syndrome, a major modifiable risk factor for cardiovascular mortality, is paramount for early detection and management.
"It is a risk factor for a family".
But it is a definite risk factor.
Smoking is a significant risk factor.
"Big babies are a definite risk factor; a rapid second stage of labour is a risk factor.
It is a manageable risk factor I suppose.
Obesity (a primary risk factor).
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com