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Case report
Night-time confusion in an elderly woman post-stroke
  1. M Christien van der Linden1,
  2. Ido R van den Wijngaard2,
  3. Shanna van der Linden3 and
  4. Naomi van der Linden4
  1. 1Research & Development, Medical Centre Haaglanden, Den Haag, The Netherlands
  2. 2Department of Neurology, Medical Centre Haaglanden, Den Haag, The Netherlands
  3. 3Emergency Department, Medical Centre Haaglanden, Den Haag, The Netherlands
  4. 4Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
  1. Correspondence to Dr M Christien van der Linden; c.van.der.linden{at}


For patients with acute ischaemic stroke, faster recanalisation improves the chances of a disability-free life and a quick discharge from the hospital. Hospital discharge, certainly after suffering a major life-changing event such as a stroke, is a complex and vulnerable phase in the patient’s journey. Elderly are particularly vulnerable to the stressors caused by hospitalisation. Recently hospitalised patients are not only recovering from their acute illness; they also experience a period of generalised risk for a range of adverse events. At the same time, elderly generally prefer living in their own homes and should be discharged from the hospital and return home as quickly as possible. Both premature and delayed discharge are potential threats to patient well-being. We present a 90-year-old patient who underwent successful thrombectomy but suffered from night-time confusion at the hospital and discuss the transition process from hospital to home.

  • geriatric medicine
  • healthcare improvement and patient safety
  • stroke
  • delirium

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  • Contributors MCvdL and NvdL designed the study. MCvdL collected the data. IRvdW provided detailed information about the medical condition of the patient. MCvdL, NvdL and SvdL interpreted the data and drafted the manuscript. All authors contributed substantially to its revision. MCvdL takes responsibility for the paper as a whole.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.