PDF(Pubmed)
Abstract：
This review aims to estimate the prevalence of seizures and epilepsy among homeless people in current literature as well as understand the main adversities that this group withstands. We conducted a search for \"epilep*\", \"seizur*\", and \"homeles*\" in titles and abstracts of articles in PubMed. Overall, 25 articles met the final inclusion criteria and warranted analyses. This study suggests that the prevalence of epilepsy in the homeless population is between 2 and 30%, whereas the prevalence of homelessness in people with epilepsy is between 2 and 4%. Every study included in this review corroborates the increased prevalence of seizures and epilepsy among the homeless, which puts them at risk for worse outcomes related to this condition and numerous associated comorbidities. Further evidence is needed to clarify the distinction of primary and secondary seizures in this group, which shows a high rate of confounding factors for seizures like substance abuse or withdrawal and head injury, and to decrease the burden of epilepsy and homelessness in an already resource-deficient community.
摘要：
这篇综述旨在估计当前文献中无家可归者中癫痫发作和癫痫的患病率，并了解该群体承受的主要逆境。我们进行了搜索“epilep*”，\"seizur*\",和PubMed文章标题和摘要中的“homeles*”。总的来说,25篇文章符合最终纳入标准，值得分析。这项研究表明，癫痫在无家可归人群中的患病率在2%到30%之间，而癫痫患者无家可归的患病率在2%到4%之间。这篇综述中的每一项研究都证实了无家可归者中癫痫发作和癫痫的患病率增加，这使他们面临与这种情况和许多相关的合并症相关的更坏结果的风险。需要进一步的证据来澄清该组中原发性和继发性癫痫的区别，这表明癫痫发作的混杂因素比例很高，如药物滥用或戒断和头部受伤，并减少癫痫和无家可归的负担在一个已经缺乏资源的社区。
