Introduction: One of the strategies to reduce mortality and disability after stroke is to ensure access to evidence-based care. Research in developed countries has shown that if hospitals improve quality of stroke care, the impact of stroke would be significantly attenuated. However, in developing countries, the data on processes of hospital care and patient outcomes are scare. 
Aims: Our aims included (1) describe clinical characteristics of stroke patients admitted to the 115 People’s Hospital (2) describe process of stroke care in the hospital; (3) investigate the asscociation between clinical characteristics, processes of care and patient outcomes at discharge.
Participations and methods: We included all consecutive acute strokes admitted to the 115 People’s Hospital during Jun 2017-Mar 2018, who were registered in the REgistry of Stroke Care Quality (RES-Q). Baseline characteristics, in-hospital evidence-based therapies (e.g. stroke unit access, thrombolysis), and outcomes at discharge were assessed.
Results: Data were available for 3,633 strokes (44% women, 80% ischemic stroke). The mean age of participants was 62.5 ± 13.6. Almost half of patients with stroke (48%) were current smokers, many of them were males. In terms of clinical presentation, the mean NIHSS score indicating stroke severity was 8.7 ± 5.9 points and 11% of cases had loss of consciousness (drowsy or comatose). The median length of stay if discharge was 4 days. Among those with ischemic stroke (IS), 12% receive intravenous thrombolysis. Over 90% of patients with stroke were diagnosed and treated with evidence-based care including neuroimaging (CT Scan or MRI; 99%), stroke unit care access (99%), dusphasia screening (96%), antihypertenisive agents (99%), cholesterol-lowering medication (IS; 99%), and antithrombotic medication (IS; 99%). Regarding outcomes at discharge, only 3% of all cases died and the majority of stroke patients (81%) were discharged home. There were 49% of cases able to walk independently at discharge. Three factors that significantly predict mortality at discharge were age, stroke severity and smoking.
Conclusion: Our adherence to evidence-based care of stroke care was good, but there are several opportunities for quality improvement programs. Outcomes at discharge were generally good but whether they persist into the longer term after stroke, requiring more follow-up.

THE REGISTRY OF STROKE CARE QUALITY (RES-Q): THE FIRST HOSPITAL DATA ON STROKE CARE QUALITY FROM VIETNAM