Providers should therefore be cautious about offering precise prog- noses early after ICH, especially if the purpose of prog- nostication is to consider withdrawal of support or DNAR Aggressive, guideline-concordant therapy is thus recommended for patients with ICH who do not have advanced directives specifying that such care should not be undertaken. Outcome Prediction and Withdrawal of Technological Support: Recommendation Aggressive care early after ICH onset and postpone- ment of new DNAR orders until at least the second full day of hospitalization is probably recommended (Class IIa; Level of Evidence B). Patients with preex- isting DNAR orders are not included in this recom- mendation. Current prognostic models for individual patients early after ICH are biased by failure to account for the influence of withdrawal of support and early DNAR orders. DNAR status should not limit appropriate medical and surgical interventions unless otherwise explicitly indicated (Class III; Level of Evidence C). 