%HbS information of patients (n = 5) receiving transfusion therapy. Paired blood samples were drawn from each patient before (Initial) and after (Final) transfusion. Initial and final %HbS was measured by Hb electrophoresis and by the paper-based assay. A clinical estimation of final %HbS (based on patient weight, Hb concentration and initial %HbS measured by Hb electrophoresis), used to guide transfusion practices, is shown for comparison. The mean difference of change in %HbS measured by Hb electrophoresis and by the paper-based assay is 3.9 %HbS. The mean difference of change in %HbS measured by Hb electrophoresis and with the clinical estimation is 3.3 %HbS. The clinical estimation overestimated the change in %HbS with respect to Hb electrophoresis in 1 of 5 patients. The decrease in %HbS measured by the paper-based assay was smaller than the decrease in %HbS measured by Hb electrophoresis in 5 of 5 patients.