FWIW sufficiently secured software doesn't need to be updated. Doesn't matter if it's old and unsupported if there are no vulnerabilities in it.
That said, h2o is probably far from free of at least some vulnerabilities, not to mention all the layers below it. OpenSSL for example has had some vulnerabilities, and h2o depends on it.
I'm not saying I exactly practice what I preach. h2o's definitely a choice, but realistically I doubt anything's going to happen that I really care about.