Background and aims: In-hospital mortality is a wellknown stroke care quality indicator influenced by many different factors. The aim of the study was to characterize stroke care in a stroke unit. Methods: Retrospective medical records evaluation of all strokes from the electronic institutional data registry from January 2018 till January 2020 was performed. The mortality rates were calculated and compared with those from the RES-Q registry. Results: Was identified 2,602 records of stroke patients, 1,979 with ischemic stroke (76.05%) and 623 with hemorrhagic stroke (23.9%). The study cohort includes 1,199 women (46.07%) and 1,403 men (53.9%), 919 women with ischemic (46.4%), and 280 with hemorrhagic one (44.9%). Overall, in hospital stroke mortality was 16.21%, for ischemic stroke – 12.88% and for hemorrhagic – 26.8%. When stratified by ICD 10 codes the mortality rates for embolic stroke (I,634) were 16.25% and for thrombotic (I,633) – 12.51%. The mortality rates for hemorrhagic stroke were: 73.9% for brainstem localization (I,613), 60% – in hemisphere, unspecified (I,612), 48.71% – intraventricular (I,615), 33.33% – cerebellum (I,614), 22.22% – in hemisphere, subcortical (I,610), 18.33% – in hemisphere, cortical (I,611) and 25.4% – SAH (I60). The RES-Q registry gave an overall in-hospital stroke mortality rate of around 22% with is different from our electronic data registry and could be explained by registry methodology. Conclusion: In-hospital stroke mortality rates are high compared to other countries that indicate the urgent need to explore the determining factors and expand the stroke care quality monitoring and management.